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Basketball Registration Form

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Springers Leisure Centre<br />

400 Cheltenham Rd<br />

<strong>Basketball</strong> <strong>Registration</strong> <strong>Form</strong><br />

Keysborough VIC 3173<br />

Phone: (03) 9701 5900<br />

Fax (03) 9701 5900<br />

springers@belgravialeisure.com.au<br />

www.springerslc.com.au<br />

Team Name<br />

Team Captain’s Contact Details<br />

Name<br />

Address<br />

Suburb<br />

Home Phone Number<br />

Mobile Phone Number<br />

Email Address<br />

2 nd Person Contact Details<br />

Name<br />

Address<br />

Suburb<br />

Home Phone Number<br />

Mobile Phone Number<br />

Email Address<br />

Fees & Charges<br />

Postcode<br />

Postcode<br />

Cost<br />

Team <strong>Registration</strong>/Insurance $145<br />

*Full <strong>Registration</strong> must be paid prior to first game<br />

Weekly Game fee $58<br />

*MUST be paid at reception BEFORE the start of<br />

the game<br />

Team Entry Checklist (to be completed by the Team Captain)<br />

Sign & Date<br />

Checked season start dates and dates the games will not<br />

be played<br />

Completed registration form<br />

<strong>Registration</strong> fees<br />

Read by-laws and /or competition information<br />

Understood walk over fees<br />

Understood registering each player<br />

*I understand and accept the conditions and competition rules on behalf of the team:<br />

Name: Signature: Date:<br />

Special requirements<br />

OFFICE USE ONLY<br />

Entry Fee:


Springers Leisure Centre <strong>Basketball</strong> Player <strong>Registration</strong> Sheet<br />

Player 1<br />

First Name DOB Postal Address Suburb Postcode Contact Phone<br />

Surname<br />

Number/s<br />

Email<br />

Signature and<br />

Date<br />

Player 2<br />

Player 3<br />

Player 4<br />

Player 5<br />

Player 6<br />

Player 7<br />

Player 8<br />

Player 9<br />

Player 10<br />

Player 11<br />

Player 12<br />

Player 13<br />

Please ensure that all players (including fill-ins), fill out all details on this sheet. When the player details are completed and signed the<br />

player will then be printed on the scoresheet. Any players that are not printed on the scoresheet will not have their games counted towards<br />

eligibility for finals. It is the teams responsibility to report to staff any players names that do not appear on the scoresheet.

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