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AND1 Camp -  Australian Basketball Services

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AND 1 Development Camps Registration Form

 
NAME
SCHOOL ATTENDED
AGE
PARENT / GARDIAN NAME
ADDRESS
STATE - IN AUSTRALIA
PHONE
( )
MOBILE
EMAIL
ANY MEDICAL CONDITION OR ALLERGY THAT OUR COACHES NEED TO KNOW ABOUT
I WOULD LIKE TO ATTEND:
SELECT CAMP DATES

 

Do you wish to receive a written report and grading? Additional $45.00.
(Visit our Elevate Program Page for details.)

 

No

 
SHIRT SIZE
Small    Medium    Large    XL    XXL
 
PAYMENT DETAILS - Make cheques payable to Australian Basketball Services Pty Ltd.
Please contact me for payment details
A cheque will be posted to Australia Basketball Services
 

Condition to be acknowledged by parent / guardian.

"I give permission for my son / daughter to attend the Basketball camp/clinic. I understand that the camp organizers will make every effort to ensure the safety of my child. I will not hold them responsible for any injuries that occur during the camp. Any photographs or images taken at the camp may also be used by the organizers for future promotional use."

 

OTHER ENQUIRIES / FEEDBACK
 

Australian Basketball Services Head Office

P.O. Box 4116 Balwyn East Vic 3103 Australia

Ph: 613 9348 1364  Fx: 613 9347 8762
info@ausbasketball.com.au