Summer Holiday Scrimmage 2019
This questionnaire can take 2-3 minutes to complete.
Email address *
The parent/guardian of an under 18 participant should complete most of the form on their behalf
MM
/
DD
/
YYYY
By completing this form you agree with the disclaimer:
- I understand that there is risk of injury associated with participating in any exercise programme or sports activity and I certify that I am in good physical condition and have no known health conditions that might otherwise be detrimental to my health or well-being. I understand that The London Basketball Association accept no liability for any accidents, injuries or any responsibility for lost valuables whilst attending our sessions.

- I certify that all of the information I provide below is true and accurate.

Participant Name *
Your answer
Day(s) of Attendance (*required)
Please select all the days that you will be attending.
Monday (Female Only)
Tuesday (Mixed)
Wednesday (Mixed)
Thursday (Mixed)
5 Aug - 8 Aug (Week 2)
12 Aug - 15 Aug (Week 3)
Daily Entry Fee *
Participant Type *
Select more than one if applicable. e.g. if you are going to play but also wish to become a coach, please tick both 'Player' and 'Trainee Coach' especially if you were admitted free of charge.
Required
Next
Never submit passwords through Google Forms.
This form was created inside of London Basketball Association. Report Abuse - Terms of Service