Albany Basketball Association
Fill In Player Form
Player Name
First Name
Last Name
Parent / Guardian Name - If under 18 years.
First Name
Last Name
Phone Number
Please enter a valid phone number.
Gender
Male
Female
Date of Birth
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
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2000
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1944
1943
1942
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1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Competiton you are REQUESTING to play for:
Yr 2
Yr 3
Yr 4
Yr 5
Yr 6
Yr 7/8
Yr 9/10
Yr 11/12
Womens B Grade
Mens B Grade
Womens A Grade
Mens A Grade
Vets
Team and Club Name.
*
Club and Team name.
Division.
*
Divison 1 or Vets.
I agree I will add myself to the scoring iPad - ensuring all details entered are correct. Incorrect or misleading information may result in team forfeit. If I'm unsure how to do this, I will ask assistance from a Games Controller.
*
Yes
No
I understand I must report to the Games Controllers office 30 mins prior to the commencement of the scheduled game.
*
Yes
No
I agree and understand I must be in correct uniform to take to the court. I also agree if under 18 years of age I will wear a mouthguard.
*
Yes
No
Do you agree to photos being used for publicity purposes for the ABA?
*
Yes
No
Do you agree to BWA Zero Tolerance Policy? https://wabl.asn.au/wp-content/uploads/sites/4/2017/07/BWA-Zero-Tolerance.pdf
*
Yes
No
I understand I can only fill in for two games and on the third game I must be fully registered to the team / club.
*
Yes
No
Emergancy Contact Details for Fill-In Players.
First Name
Last Name
Phone Number
Please enter a valid phone number.
Submit
Should be Empty: