Player Registration

Player registration is a two part process:

  1. Please complete the following form for each player to be registered.
  2. Once you have completed a registration for each player, please make your payment here.


PLAYER INFORMATION

First Name:  
Last Name:  
Date of Birth:  
Sex:    Male Female
Singlet Number::  
Does the player have any medical conditions:  


PARENT/GUARDIAN INFORMATION

First Name:  
Last Name:  
Phone:  
Emergency Phone Number:  
Street Address:  
Suburb:  
Postcode:  


TEAM INFORMATION

Season:  
Age Group:  

PLEASE NOTE:

  • Players who are unfinancial from the previous season will not be placed into a team. Players who remain unfinancial after round 4 will not be selected to play.
  • Applications will not be accepted without payment. Fees can be paid in cash, by cheque or online at www.montrosevikings.org.au

By completing this application I hereby apply for the player named in the Player Information schedule to become members of the Montrose Vikings Basketball Club Inc. and agree to be bound by the Constitution and Codes of Conduct of The Club. I also accept all decisions made by The Club and the governing association (K&MDBA) in accordance with their respective policies and bylaws.

Enter the code shown into the field below and click on "Submit" to accept the terms and conditions and submit the registration.
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Membership Enquiries

Michelle Roth - 0419 891 786

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