Basketball Term 4 2020


Ages: Year 5 & 6
Grade/Division: Breakers Yr 5&6 Hastings Division 3 
Venue: Hastings Stadium, Railway Road 
Day/Times: Tuesday afterschool 4.00m - 7.00pm
Start Date: 20th October 2020
Finishing Date: 8th  December 2020
Cost: $250 per team +
$5 per player affiliation Fee
Games: Teams of 7-8 with 5 players on the court at one time. 
  Teams are to provide one adult to help SCORING
Uniform: Covered shoes, Sports top to be provided by school.
Please note: We will confirm later if we have enough players and a coach & manager
  for this team to go ahead.


Player Consent: *
Information Consent: *
Child's Name: *
Room Number: *
Year Group: *
Date of Birth: *
Ethnicity: *

EMERGENCY CONTACT: Must be contactable on game day and training days

Name: *
Mobile: *
Email: *

TEAM SUPPORT STAFF: Coaching/Co-coaching or Team Manager

Coaching Consent:
I am able to take practice on this day:
Start time:
Finish time:
Managing Consent:
Any other comments or questions:
Please enter the characters
shown in the image
(Note this is not case sensitive)

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