Rebels Athlete Registration Form 2022

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Rebels Athlete Registration Form 2022

Rebels Athlete Registration Form

"*" indicates required fields

Name*

First Last

Date of Birth*

Which Age Group Will You Be Trialing For?

Gender*

Parents Email Address*

Parents Phone Number*

Did you play for Central Coast Rebels in 2021?*

Did you play for any other club? If yes, please specify which club.*

Do you have a player release form from your previous club?

Do you need an exemption from trialing?

An exemption is for anyone who cannot attend trials

If you answered yes above, please provide details

Player Consent*

I agree to the the following:

As a Central Coast Rebels athlete, I agree to abide by the code of conduct, polices and procedures and follow the directives from Central Coast Basketball staff and volunteers.

Photo/Video Consent

I agree to the the following:

As a Central Coast Rebels athlete, I agree to having photos and videos of myself/my child taken and shared on Central Coast Basketball's app, website and social media accounts.

Rebels Athlete Registration Form

"*" indicates required fields

Name*

First Last

Date of Birth*

Which Age Group Will You Be Trialing For?

Gender*

Parents Email Address*

Parents Phone Number*

Did you play for Central Coast Rebels in 2021?*

Did you play for any other club? If yes, please specify which club.*

Do you have a player release form from your previous club?

Do you need an exemption from trialing?

An exemption is for anyone who cannot attend trials

If you answered yes above, please provide details

Player Consent*

I agree to the the following:

As a Central Coast Rebels athlete, I agree to abide by the code of conduct, polices and procedures and follow the directives from Central Coast Basketball staff and volunteers.

Photo/Video Consent

I agree to the the following:

As a Central Coast Rebels athlete, I agree to having photos and videos of myself/my child taken and shared on Central Coast Basketball's app, website and social media accounts.

Rebels Athlete Registration Form

"*" indicates required fields

Name*

First Last

Date of Birth*

Which Age Group Will You Be Trialing For?

Gender*

Parents Email Address*

Parents Phone Number*

Did you play for Central Coast Rebels in 2021?*

Did you play for any other club? If yes, please specify which club.*

Do you have a player release form from your previous club?

Do you need an exemption from trialing?

An exemption is for anyone who cannot attend trials

If you answered yes above, please provide details

Player Consent*

I agree to the the following:

As a Central Coast Rebels athlete, I agree to abide by the code of conduct, polices and procedures and follow the directives from Central Coast Basketball staff and volunteers.

Photo/Video Consent

I agree to the the following:

As a Central Coast Rebels athlete, I agree to having photos and videos of myself/my child taken and shared on Central Coast Basketball's app, website and social media accounts.

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