36 Hour Basketball Marathon in aid of Puttinu Cares Foundation
Athleta Basketball is planning to organise a major charity event in aid of the Puttinu Cares Foundation on the 7/8 September.  The event will be a 36-hour continuous basketball marathon that will offer the athletes taking part playtime and also a challenge given that the event has the aim of helping people in need.  

Registration will be against a minimum donation of €15 for the Puttinu Cares Foundation.  

Please complete this form to register your interest (or that of your son or daughter) to take part.  
More details and a meeting for athletes will be held at a later date.
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Email *

 Name and surname of athlete
*
Gender of athlete *
Date of birth of athlete *
MM
/
DD
/
YYYY
Name of parent or guardian
*
Contact mobile number  *
(of parent or guardian)
Name of second parent or guardian
(Optional)
Contact mobile number 
(of second parent or guardian - or second emergency contact number)
T-shirt size for athlete *
(XS, S, M, L or XL)
Playing position of athlete *
(guard, forward or centre)
Team name (optional)
Players may form (5-a-side) teams in advance.   If you organize a team, please indicate the team name. The team leader should send the team details to  marathon@athletabasketball.com  
It is important that each player must still register individually.

Special dietary requirements of athlete and/or food allergies *
Please answer "N/A" if none
Is the athlete prepared to take part in games at night (between 23:00 and 06:00)? *
Does the athlete suffer from any medical condition on which we should be informed  *
Please provide details if condition needs medication or attention 
Details of medication condition
Is the athlete allergic to any medication  *
If YES, please give brief details indicating which medications your child is allergic to, and whether the allergy is mild or severe.
Details of medication allergies
The athlete may be given paracetamol tablets/syrup. 
*
Athleta Basketball Club will advise parent or guardian if paracetamol is administered and if condition persists, parent will be also informed. 
In the event that the parent or guardian cannot be contacted, emergency treatment as determined by Athleta medical or paramedical personnel may be given.
*
By emergency treatment we understand any condition which in the opinion of Athleta, it may endanger the athlete if not treated immediately.
We grant Athleta Basketball permission to take photos and video of our son or daughter during this event
*
We grant Athleta Basketball permission to use photos and/or video footage of our son or daughter for club promotional purposes
*
We consent Athleta Basketball Club the collection of the data on this form, for the sole purpose of organising the 36-hour marathon event *
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