EmailMe Form - Junior Registration

Child's name
Date of Birth
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Medical conditions or medication. Please enter 'None' if appropriate. Do not leave this field blank.
Parent or Guardian
First Last
Phone *
Email
Address (if different from above)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Second Contact
First Last
Phone
Email
Address (if different from above)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Photography
I am happy for my child to be photographed and videoed for
Training and instruction
Online media such as Facebook
Local press
None of the above
To complete my registration I agree to:
Have my child read and agree to the Principles of Participation
Sign up on the Spond app
Register my child with Basketball England
Pay the subs every month