Modbury Basketball Senior Teams Player Registration

Modbury Basketball Senior Teams Player Registration

This form is to be used by current or new club members to register and play in the Modbury Basketball Club Senior Competitions. Modbury Basketball Club Fees are to be paid prior to season commencement. Basketball SA Fees and Game Fees must also be paid prior to any game. This registration allows you to play for MBC.
Player Name

First NameLast Name
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: 0000000000.
Team Name
Player Status
Do you consent to being photographed for use on Social Media?
Please add any medical conditions MBC should be aware of:
Signature

By signing and submitting this form, you agree to the abide by the terms and conditions of the Modbury Basketball Club, available on our website. Refunds. Once you accept an offer to play for Modbury Basketball Club by completing your registration, then full fees will be charged, as per the above terms, even if you later decide not to play. Refunds will be prorated amounts based on games played and will only be given under exceptional circumstances for example, Medical – Medical reasons for the refund must be made via email to the Treasurer accounts@modburybasketball.com and will need to be substantiated by a Medical Certificate Relocation – May be applicable for families relocating to a residence outside of a 10 km zone from Tea Tree Gully Council. The refund application must be made via email to the Treasurer

Registration Fee

Player Registration

Registration fee for Current and New players. $50 per season, with New Players adding a once off $80 Uniform Fee

$50.00 AUD Player Status

Enter coupon

Total

Payment Methods

Credit Card

Apple Pay

Afterpay

Should be Empty:

Modbury Basketball Senior Teams Player Registration

Registration Fee*

Payment Methods

Registration Fee