Little Dribblers Basketball Program
A beginner basketball program for children aged 4 - 12 years old. Children will learn basic basketball skills and drills, develop their hand-eye coordination, make friends and have fun in an interactive environment.

Attend casually each Friday or sign up for the term and save on the cost.

Venue: Waverley Basketball Stadium - corner Batesford Road and Power Ave, Chadstone
Date: Every Friday during the school terms
Time: 4.15pm to 5pm

Cost:
Casual $6 per session
Full term $47 per term

Enquiries:
Phone 9095 6567
Email play@frogsbasketball.com.au
Website www.frogsbasketball.com.au

Participants details
Please complete the following sections for EACH participant attending.
Participants name *
Your answer
Participants DOB *
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What basketball club does your child play at? (if applicable)
Your answer
Would your child be interested in playing at a basketball club? *
Please list your school your child is attending
Your answer
Parents name *
Your answer
Parents contact number *
Your answer
Parents email *
Your answer
Medical conditions / notes
Your answer
Please select your attendance *
Please wear suitable sporting clothes and shoes and bring your named basketball and drink bottle *
How did you hear about us? *
Parent / Guardian Declaration
Please note that by submitting this registration you agree to the following. I the parent/guardian of the above named child give permission for him/her to participate in these clinics. In the event of any illness or incident where it is impractical to communicate with me, I authorize the organizer / coaches, on my behalf, to seek medical assistance as my child may require, including ambulance travel, anesthetic, 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 the clinics and I understand and voluntarily accept the risk and agree that I will not hold the organizer / coaches to 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 organizer / coaches for all liabilities resulting from such claims. Any cancellations prior to the event may incur a $15 administration fee. I agree to my child’s photo being used for promotional purposes.
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