Registration

Player Information

Season*

Summer
Winter

Year of Birth*

Gender*

Height (cm)*

Please enter a number from 50 to 200.

Name*

First Last

Preferred name

(if different from first name)

Date of Birth*

School Attended*

Training Availability

PLEASE NUMBER ALL NIGHTS IN ORDER OF PREFERENCE FOR TRAINING
(1=Highest preference 4=Lowest)

Monday*

Please enter a number from 1 to 4.

Tuesday*

Please enter a number from 1 to 4.

Wednesday*

Please enter a number from 1 to 4.

Thursday*

Please enter a number from 1 to 4.

Please indicate if you have any game day and/or training day commitments.
Eg: Compulsory School Sport 9.00-12.30

Prior Commitments

Team Information

Our policy at Blazers is to place your child in the highest team that suits their ability.

Please indicate below if you would like your child to play in the highest team possible OR according to their friendship requests.

Note that any friendship requests must be noted on BOTH players' forms.

Team Choice*

Highest team possible

My preference is friends

Friend's Name*

Your Team Last Season

Previous Grade

Playing Status with Balwyn?*

Uniform Number*
Please enter a number from 4 to 55.

Are you from an EDJBA Club?*

Yes

No

Which club

Do you play Rep Ball*

Yes

No

Consent for medical treatment

I hereby consent to the use of an ambulance service and the administering of any medical or surgical treatment as may be deemed urgently necessary arising out of any illness or injury suffered by the above named player whilst attending any game of basketball or training session conducted by or under the auspices of the Balwyn Blazers Basketball Club Inc.

Further, I hereby indemnify the Balwyn Blazers Basketball Club Inc. from any expenses or other liabilities incurred in consequence of any illness or injury so suffered.

I acknowledge that it is my responsibility to inform the coach of the above named player of the existence of any medical conditions or sensitivities which may require attention.*
Yes

Any Medical Conditions*

Yes

No

Any Allergies*

Yes

No

Medical Notes

Parent / Guardian Information

Parent/Guardian 1 Firstname*

Parent/Guardian 1 Surname*

Parent/Guardian 1 Mobile Number*

Parent/Guardian 1 Email*

Parent/Guardian 2 Firstname

Parent/Guardian 2 Surname

Parent/Guardian 2 Mobile Number

Parent/Guardian 2 Email

Club Assistance

Team Contact & Scoring Roster

By enrolling my child to play with Balwyn Blazers Basketball Club, I acknowledge that I am prepared to be Team Contact and to participate in a roster for scoring.

If, in special circumstances, you are unable to perform these duties please contact the Club at operations@balwynblazers.com.au

Information on how to score is available here.

Interested in Coaching*

Yes

No

Coaching Age Group Preference

Assistance Area
Coaching
Committee
Events
Team Contact
Uniform Sales
Age Group Coordinator (AGC)
Team Selection Organisation

Code of Conduct

Players and parents must read and agree to abide by the EDJBA Codes of Conduct for Parents, Players & Spectators.

CLICK HERE to read the Players and Parents Code of conduct.

I consent to photo and video content being taken and shared online of my child playing with the Balwyn Blazers club.
Yes

I have read and agree to the Terms and Conditions*
Yes