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RULE CHANGES
Mercy Rule
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App
New Player Registration Form
Due to current COVID-19 restrictions, we will not be having tryouts for this season.
Uniform
All new players will be required to purchase a uniform (shorts and singlet), at an approx cost of $110 (reversible singlet and shorts).
Please visit:
https://fiddes.com.au/product-tag/flames/
*
Indicates required field
Name
*
First
Last
Date of Birth
*
Email Address
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Home Phone
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Address
Details
Street
*
Suburb
*
Postcode
*
Gender
*
Male
Female
Mother's Name
*
Mother's Mobile
*
Father's Name
*
Father's Mobile
*
Basketball Policy Document
File Size:
1159 kb
File Type:
pptx
Download File
Are you interested in coaching?
*
Yes, but my child's team only.
Yes, any team.
No.
Would you like to be a Team Manager?
*
Yes
No
Has your child played Basketball before?
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Yes
No
If yes, for how long?
*
If yes, what was your last club?
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Has your child played any other sport?
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Yes
No
Does your child play Rep Basketball?
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Yes
No
If yes, provide details of the sport and how long your child has played.
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If yes, what grade?
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Permission to seek medical assistance
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Yes
No
Medicare Number
*
Do you have Ambulance Cover
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Yes
No
If Yes, Cover Number
*
Private Health Cover
*
Yes
No
Health Fund and Member Number
*
A Copy of your birth certificate is also required upon registration and if applicable a Junior Clearance Form from a previous club.
Fee Structure
The fee structure of the club is TBC for players playing in WCBA or for players playing in DV per season (6 months) payable into the club account.
If you require payment plan, please email our Treasurer @
treasurer@marymedebasketballclub.com.au
Marymede Basketball Club Inc.
BSB:
033 140
Account:
102 472
Reference:
‘surname and child’s first initial’ or ‘child’s date of birth’
For example, Your Child’s PLAYER ID will be in the following format: eg Jane Smith 29/03/2014 –
SJ2903
Uniform
All new players will be required to purchase a uniform (shorts and singlet), at an approx cost of $110 (reversible singlet and shorts).
Please visit:
https://fiddes.com.au/product-tag/flames/
Remember Basketball uniforms are meant to be worn quite baggy so it is better to go bigger if you are not sure, that way your uniform will also last longer.
Parent Declaration
*
I/We agree to the above fee structure of Marymede Basketball Club and agree to pay all Fees due by the due date. I also agree that if all fee due are not paid as requested and continue to remain outstanding after such requests, my child will not be allowed to continue to play until such time as all fees have been received in full.
Privacy Consent
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I/We consent, unless I/We otherwise advise in writing to Marymede Basketball Club, to use my childs details including Name and also images, before, during and after the season for promotional, broadcasting and reporting purposes in amy media. ( Please note that this is only whilst your child is registered and/or playing for Marymede Basketball Club
Full Name
*
Date
*
Submit
