FROGS Summer 2017/18 Registrations
This registration form is for NEW PLAYERS or EXISTING PLAYERS WHO HAVE NEW DETAILS only.

Registrations are now open for the Summer 2017/18 season. To ensure eligibility for selection in a team this registration form, together with payment, must be received by Friday 18th August 2017.

For general enquiries please email play@frogsbasketball.com.au

Player First Name *
Your answer
Player Surname *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
Suburb *
Your answer
Postcode *
Your answer
Parent / Guardian 1 Name *
Your answer
Parent / Guardian 1 Mobile *
Your answer
Parent / Guardian 1 Email *
Your answer
Parent / Guardian 2 Name
Your answer
Parent / Guardian 2 Mobile
Your answer
Parent / Guardian 2 Email
Your answer
Home Phone
Your answer
School Attending *
Your answer
Uniform - Singlet Order ($35) *
If you require a NEW singlet please complete the following. After payment, the Uniform Manager will contact you to organize a suitable size and pickup. Sizing chart info: http://frogsbasketball.com.au/uniform/
Uniform - Shorts Order ($35) *
If you require a NEW pair of shorts please complete the following. After payment, the Uniform Manager will contact you to organize a suitable size and pickup. Sizing chart info: http://frogsbasketball.com.au/uniform/
Additional Merchandise
Please check any additional items you would like to order.
Select a Competition *
WBA (waverleybasketball.com) has limited places for the upcoming season and players will be placed within a team on a first-come basis. However further opportunities to play are available at the MEBA competition (mebainc.net).
Registration Option *
General registration fees includes team registration, training venue hire, coaching and general expenses. Team sheets are not included in the registration.
Payment Option *
Please select how you wish to pay for your registration. You will be contacted with information on how to pay shortly.
How Can You Help The Club? *
Please check as many as applicable
Required
Notes
Please use this area to advise the Club of any issues regarding your child’s health, scheduling of training/games and requests to play with specific people or in a specific team. Team selection requests (who my child wants to play with or in which team). Whilst the club will try to accommodate requests, there are no guarantees.
Your answer
Signature - Please PRINT Name *
PARENT/GUARDIAN DECLARATION I the parent/guardian of the above named child give permission for him/her to train and play with the Frogs Basketball (“the Club”). In the event of any illness or incident where it is impractical to communicate with me, I authorize the obtaining, on my behalf, of such medical assistance as my child may require, including ambulance travel, anaesthetic, blood transfusion and surgical procedures. I accept responsibility for payment of any expenses incurred. I acknowledge that my child may be injured in the course of a training session or game and I understand and voluntarily accept the risk and agree that the Club will not be liable for any injury including without limitation, personal, bodily or mental injury and economic loss. If there is any claim in relation to my child based on an injury, I agree to indemnify the Club for all liabilities resulting from such claims. I understand I may need to participate in the management of my child’s team. I agree to my child’s photo being used for promotional &internal Club purposes. My family will adhere to the published policies held on the Club’s website, in particular “Parent and Player Commitments”. Team selection will commence following the registration payment cut off. Having your child selected in the appropriate team will be dependent upon payment being received on time.
Your answer
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