Registration

Player Name

Date of Birth

Gender
MaleFemale

School

Grade/Class

Current PBC Team

Jersey Number

Tell us a little about what your child wants to get from their basketball please check the boxes that apply to your child
Competitive and wanting to push themselves.Interested in additional coaching.Playing just for fun.Interested in playing for more than one team.

The following Game options are available, please indicate your preferred competition
U08/10 Casey ThursdayU12/14 Casey TuesdayCasey SaturdayCasey Weekday (other age group)Frankston SaturdayFrankston WeekdayWesternport WeekdayWesternport SaturdayAll Boys TeamAll Girls Team
*Please note generally: U8 are mixed: U10, U12, U14 are BOYS OR GIRLS only teams. *Game times and days are subject to change.

Is your child a Representative player, if so please advise on the below
Rep Association

Rep Age Group

Rep Division

Training

Training takes place at Pearcedale Primary School from 3:30pm onwards, training rosters will be available once teams and coaches have been confirmed, we do our best to accommodate each team but understandably it is up to the coach of your team as to when he/ she is available to train the team. To help make this process a little easier, please list any days your child is unable to attend training as this will help in the process of placing children into teams that training time allocated will work with all players and coach within the team.

Please note: If your child is placed into an established team your child will be given the designated teams training time that they have been allocated from previous season.

Days available for Training
MondayTuesdayWednesdayThursdayFriday

Parent 1

Guardian Name

Phone

Email

Working With Children Card
YesNo

Parent 2

Guardian Name

Phone

Email

Working With Children Card
YesNo

I agree to all the terms and conditions of registration to the Pearcedale Basket Ball Club
Yes