Junior Representative Player Acceptance – Southern Districts Basketball Association Ltd

Player Information

Player Name*

First Last

Date of Birth*

Gender*

Male
Female

Address*

Street Address City State / Province / Region

School Name*

Please list any medical information...

Player Acceptance

Which team are you accepting a position with?*

I accept the position on this Southern Districts team for the 2021 representative season. I understand this commitment includes all SQJBC games, State Championships and training sessions.*

Yes
No

If No, please contact Southern Districts via coachingdirector@sdbal.com.au to withdraw from your selected team.

I accept the use of OwnUrGoal as the team management and communication platform for 2020 representative season.

Yes
No

Representative Fees Payment Method*

Families have the option to pay fees Upfront or as a Payment Plan with three separate installments.

Primary Contact Information

Please note that the following information will be given to the Head Coach and Team Manager as well as kept on file for the duration of the season. Please inform the SDBAL office of any confidential information.

Name*

First Last

Relationship to player*

Email*

Phone*

Secondary Contact Information

Name*

First Last

Relationship to player*

Email*

Phone*