Redditch Basketball Club -Junior Registration Form 2024/25

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Registration form for new junior members for Redditch Basketball Club. All details will be securely saved on our database inline with GDPR and the data protection act and will only be shared within the club . If you require anymore information please email redditchbasketballclub@gmail.com

Are you a new member or a returning member *

Returning

New Member

How old will your child be on the 1st September 2024 *

Participant's first name *

Participant's surname *

Participant's Date of Birth *

YYYY

Participant's gender *

Male

Female

Transgender

Prefer not to say

Other:

Postcode *

Does your child have Medical condition? *

Are there any safeguarding concerns that we need to be aware of? (if yes please explain, so we can make sure we can support your child) *

Is there anything around your child's welfare that the coaches / volunteers need to be aware of to support your child? (This will help us as a club to give your child the best possible experince ) *

If you have any safe guarding concerns, Luke Freer is the club's welfare officer and can be contacted via any member of the coaching team. *

Please tick the box to say you have read and taken note of the statement above?

Required

Any other information you would like to add? *

Do you give Photo/video consent of your child for our social media? *

Yes

Required

Ethnicity *

White English, Welsh, Scottish, Northern Irish or British

White Irish

White Gypsy or Irish Traveller

Any other White background

White and Black Caribbean

White and Black African

White and Asian

Any other Mixed or Multiple ethnic background

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background

African

Caribbean

Any other Black, African or Caribbean background

Arab

Any other ethnic group

Emergency contact name *

Relationship to the child *

Mobile Number (WhatsApp invite will be sent to this) *

Email Address *

Do you give consent for photos and videos to be used on our social media platforms? *

yes

As a parent or guardian are you interested in any of the following roles ?

please note that they club would pay for any qualifications and you would get a discount for your Childs membership

Table official

Referee

Asisant Coach

Head Coach

Community Coach

Stats

Social Media

Helping with Sponsorship

Helping with Admin

Fundraising

Team Manager

Help with getting sponsorship

Clear selection

Club fees are £30 per month, per player, payable by standing order.

Please use the following bank details to setup your standing order:
Redditch Basketball Club
Barclays Bank
20-71-45
80726109

Please note: When setting up your standing order please include the name of the player to which it relates in the reference, as this makes it easier for us to manage all the different incoming payments.

Our preference is for all fees to be paid by standing order, however if you wish to pay on a per session basis you may do so, the fee for this being £5 per session, payable by card only.

Please tick to confirm if you will be paying by standing order

Please tick to confirm if you will be paying per session

Required

Registration form for new junior members for Redditch Basketball Club. All details will be securely saved on our database (Google drive) inline with GDPR and the data protection act and will only be shared within the club . If you require anymore information please email redditchbasketballclub@gmail.com *

I have read this statement and understand it.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms