Basketball Registration Form
Basketball Registration Form
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.