MAMBA FOCUS SESSIONS

MAMBA FOCUS SESSIONS
REGISTRATION FORM

* Indicates required field

Parent / Guardian's Full Name *

Parent / Guardian's Contact Number *

Parent / Guardian's Email Address *

Please select session: *

X SOLD OUT - Wed 7th Dec 2022 - 11:30am-12:30pm X SOLD OUT - Thurs 8th Dec 2022 - 8:30am-9:30am X SOLD OUT - Fri 9th Dec 2022 - 8:30am-9:30am Wed 14th Dec - 11:30am-12:30pm Thur 15th Dec - 10:00am-11:00am

Child 1 / Dependant's Full Name *

Child 1 / Dependant's Date of Birth *

Child 2 / Dependant's Full Name *

Child 2 / Dependant's Date of Birth *

Please list any medical issues that may arise in your child/children during session: *

Please ensure your child/dependant brings with them a water bottle and basketball.
Payment will be required once this registration form has been submitted (EFT details below registration form) to secure your place.

* You understand the risks arising in the course of participating in basketball and basketball related activities, including injury and loss or damage of personal property.
* You acknowledge and consent to image and videos being used for social media (only in our Team Mamba channels). This is to represent highlights of your child/dependent's basketball skills and not to defame in any way.

I acknowledge I have read and understood *

Yes

Submit

EFT Details for the session fee (account unable to accept instant transfers)
$20 current Mamba players / $25 non-Mamba players each session:
TEAM MAMBA PERTH
BSB 303-092
ACCOUNT 0442603

MAMBA FOCUS SESSIONS
REGISTRATION FORM

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MAMBA FOCUS SESSIONS​REGISTRATION FORM

MAMBA FOCUS SESSIONS
REGISTRATION FORM