Springers Leisure Centre
400 Cheltenham Rd
Keysborough VIC 3173
Phone: (03) 9701 5900
Fax (03) 9701 5844
[email protected]
www.springerslc.com.au
Basketball Registration Form
Team Name
Team Captain’s Contact Details
Name
Address
Suburb
Home Phone Number
Mobile Phone Number
Email Address
Postcode
2nd Person Contact Details
Name
Address
Suburb
Home Phone Number
Mobile Phone Number
Email Address
Postcode
Fees & Charges
Cost
Team Registration/Insurance
$145
*Full Registration must be paid prior to first game
Weekly Game fee
$58
*MUST be paid at reception BEFORE the start of
the game
Team Entry Checklist (to be completed by the Team Captain)
Sign & Date
Checked season start dates and dates the games will not
be played
Completed registration form
Registration fees
Read by-laws and /or competition information
Understood walk over fees
Understood registering each player
*I understand and accept the conditions and competition rules on behalf of the team:
Name:
Signature:
Date:
Special requirements
OFFICE USE ONLY
Entry Fee:
Springers Leisure Centre Basketball Player Registration Sheet
First Name
Surname
DOB
Postal Address
Suburb
Postcode Contact Phone
Number/s
Email
Signature and
Date
Player 1
Player 2
Player 3
Player 4
Player 5
Player 6
Player 7
Player 8
Player 9
Player 10
Player 11
Player 12
Player 13
Please ensure that all players (including fill-ins), fill out all details on this sheet. When the player details are completed and signed the
player will then be printed on the scoresheet. Any players that are not printed on the scoresheet will not have their games counted towards
eligibility for finals. It is the teams responsibility to report to staff any players names that do not appear on the scoresheet.