December School Holiday Training Camp

Participant 1

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* 1. Name & Address

First

Last

Street Address

Suburb

Postcode

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* 2. Gender

Female

Male

Other

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* 3. Date of Birth

Date of Birth

Date

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* 4. T-shirt size (youth)

8

10

12

14

16

Other (please specify)

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* 5. Basketball skill level

Beginner

Intermediate

Advanced

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* 6. Current basketball team (if applicable)

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* 7. Medical Information (leave blank if not applicable)

Allergies

Asthma

If Asthma, is puffer with participant?

Other medical information

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* 8. I have another child registered:

Yes

No