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Contact Us
About Us
COVID Updates
Annual General Meeting
Policies & Procedures
Our Association
Life Members
Our Board
Our Team
Join Our Team
Mezzanine Function Room
Development
Rising Rebels Sessions (5-17 years)
Basketball Skills School Visits
Individual Coaching
Competitions
Junior
Senior
Scrimmage
Looking for a Team / Player
Basketball Referees
Referees
Green Shirt Program
Refereeing Representative Basketball
Refereee Resources
Netball
Volleyball
Representative
Rebels – Junior
Crusaders – Senior
Coaches
Premierships / Awards
Contact Us
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
*
DD slash MM slash YYYY
Which Age Group Will You Be Trialing For?
U12 (Born 2011, 2012, 2013)
U14 (Born 2009, 2010)
U16 (Born 2007, 2008)
U18 (Born 2005, 2006)
Gender
*
Male
Female
Parents Email Address
*
Parents Phone Number
*
Did you play for Central Coast Rebels in 2021?
*
Yes
No
Did you play for any other club? If yes, please specify which club.
*
Do you have a player release form from your previous club?
Yes
Not Yet
Not Required / NA
Do you need an exemption from trialing?
Yes
No
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
*
DD slash MM slash YYYY
Which Age Group Will You Be Trialing For?
U12 (Born 2011, 2012, 2013)
U14 (Born 2009, 2010)
U16 (Born 2007, 2008)
U18 (Born 2005, 2006)
Gender
*
Male
Female
Parents Email Address
*
Parents Phone Number
*
Did you play for Central Coast Rebels in 2021?
*
Yes
No
Did you play for any other club? If yes, please specify which club.
*
Do you have a player release form from your previous club?
Yes
Not Yet
Not Required / NA
Do you need an exemption from trialing?
Yes
No
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
*
DD slash MM slash YYYY
Which Age Group Will You Be Trialing For?
U12 (Born 2011, 2012, 2013)
U14 (Born 2009, 2010)
U16 (Born 2007, 2008)
U18 (Born 2005, 2006)
Gender
*
Male
Female
Parents Email Address
*
Parents Phone Number
*
Did you play for Central Coast Rebels in 2021?
*
Yes
No
Did you play for any other club? If yes, please specify which club.
*
Do you have a player release form from your previous club?
Yes
Not Yet
Not Required / NA
Do you need an exemption from trialing?
Yes
No
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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