Application For Affiliation of a Basketball Club with the Keilor

KEILOR BASKETBALL ASSOCIATION
Senior Domestic Registration
Registrations are now being accepted for the winter season.
Registration night-Mon 2nd & Wed 4th April , 2012 7.30pm till 8.30pm. Or forward
Cheque and Registration Forms to KBA Administration office 10.00am-3.00pm daily or mail
to P.O. Box 119, Tullamarine, 3043. All Cheques/money orders to be made payable to: Keilor
Basketball Association.
Registrations will only be accepted with completed registration forms and payment in full. Registration
forms need to have all player details and signatures before being accepted. Registration fee is $170- but if
paid on or prior to Wednesday April 4th 2012 $150.00. (No refunds will be given on entry fees accept where
the KBA is unable to place your team into a competition.) Fixtures will be done on receipt & lodgment order
of registration so please submit this early as any current team may lose their position.
A $50- bond is payable by all new teams not playing the previous season on that night.
GAME SHEET FEES $48.00
All players must be 14 years of age.
Teams
This form is to be read and signed by team representative and returned with team registration.
Team score sheet is to be clearly filled out each week with Christian name and surname of each player
taking to the court. 1 premiership point will be deducted for breech of this.
All players must sign the back of the score sheet to qualify for that game. New players not on the
registration sheet must register on the back of the score sheet on the 1st night they play.
All teams must be in full uniform or penalties will be imposed (as per KBA Senior by-laws section 7) .
Illegal numbers on their singlets will not be acceptable. (eg 0,00, 3) All singlets must be uniform and shorts
of the same colour or penalties will apply as per senior by laws will be imposed. Legal nos. are: 4-15 20-25
30-35 40-45 50-55
All teams are to mark the score sheet with a “c” next to the player name representing the court captain for
the game. Consultation (if required) between the team and the referees will only take place through court
captains.
All teams giving a walkover will be required to pay a walkover fee (fee as set by KBA) within 7 days of
notification (verbally or written). Failure to do so will incur loss of 1 premiership point for each game played
whilst fee is outstanding. If fee is not paid within 2 weeks, team faces removal from the competition. Three
walkovers in a season will result in team being removed from competition.
All players, spectators are bound by player/spectator code of conduct. Players/spectators showing
undesirable behaviour will not be tolerated. KBA has the right to refuse entry or remove any person(s) as
deemed necessary.
As representative of ____________________________(team), I _______________________(name)
agree that our team is aware of and will abide by these guidelines. Competition will commence week
beginning Monday,Tuesday,Wednesday 30th April 1st & 2nd May 2012
Signature-………………………………………………………………
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KEILOR BASKETBALL ASSOCIATION
Application for Entry of a Basketball Team – Senior Domestic
Required to be completed by a team applying to enter the KBA’s Senior Domestic competition.
Competition Entry Form –( May 2012 )
Name of Team:
.........................................................................................................................................
Team Contact:
Name: ..............................................................................................................................
Address: ...........................................................................................................................
....................................................................................... Postcode: .................................
Phone (bh): ............................................ Phone (ah): ......................................................
E-mail: ................................................................... Mobile: .............................................
Alternative
Contact:
Name: ..............................................................................................................................
Address: ...........................................................................................................................
....................................................................................... Postcode: .................................
Phone (bh): ............................................ Phone (ah): ......................................................
E-mail: ................................................................... Mobile: .............................................
Entry Requested:
Weeknight:
(please circle)
Competition:
Men’s/ Women
Grade:
ABCDE
Monday / Tuesday / Wednesday
Signed: .............................................................. Name: ................................................... Date: .................................
Entry is conditional upon the team abiding by the KBA’s rules and by-laws in force at time of registration.
Registration night, Mon 2nd & Wed 4th April , 2012 7.30 till 8.30pm ( Registration Fee is $170 but $150 Early
discount- If paid before or on April 4th) Cheques or money orders should be made payable to the Keilor Basketball
Association.
Registration fee is $170 and a Bond of $50.00 is payable if the team did not play in the previous season on that
same night that they wish to enter into the competition. Team Registration will not be accepted without payment
and completed registration forms. Registration forms and payment may be paid directly to the Keilor Basketball
Association between 10.00am-3.00pm daily; posting completed registration form and cheque to P.O. Box 119,
Tullamarine, 3043 or placing in letter box 19 at the stadium (cheque/money order only)
Season Commences: (Monday 30th April, Tuesday 1st Wednesday 2nd May)
Any registrations received after 4/4/2012 may not be placed into competition or may need to wait to after
round four
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KEILOR BASKETBALL ASSOCIATION
Enquiries: Cathy Wright (Competition Administrator) Ph: 9336 0178
Postal address: PO Box 119, Tullamarine. 3043
SENIOR DOMESTIC
Team Registration Form – (May 2012)
Team Name ................................................................................................................... Team Contact: .....................
Address: …………………………………………………………………………………Postcode:..................
Team Colour………………………………...
Phone (bh): ..........................................Phone (ah): ..... ............................Mobile: ......................................
Player’s Name
Address
Post
Phone
Signature
code
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KEILOR BASKETBALL ASSOCIATION
Keilor Basketball Senior Domestic
Payment of Bond
Please retain for your records and refund
NAME OF TEAM……………………………..
DATE BOND PAID……………………………
AMOUNT PAID……………………………….
------------------------------------------------------------------------------------------NAME OF PERSON BOND IS TO BE RETURNED TO
…………………………………………………………………
(Bond to be refunded by cheque, to be made payable to person named above)
SIGNATURE OF TEAM REP……………………………
-------------------------------------------------------------------------------------------
BOND RECIEPT #...............................................
RECEIVED BY…………………………………
REFUNDED ON………………………………..
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