2024 Capitals Academy DISCOVER - Player Development Program (Girls)

Athlete Information

First Name

Last Name

Date of Birth

Gender

Parent/Guardian Information

Primary Parent/Guardian Name

Email Address

Mobile Number

Secondary Parent/Guardian Name

Email Address

Mobile Number

Program Details

Session Days/Dates/Times (Auchenflower Stadium: Court 1 & 2)

DISCLAIMER:

I hereby agree to assume all risks and responsibilities surrounding my (or my child's) participation in the program under the instruction of Brisbane Basketball Incorporated coaches. I understand that similar to all sporting activities, there is a risk of damage to personal property, injury or death which may result from causes beyond the control of, and without fault or negligence of Brisbane Basketball Incorporated, its officers, agents, or employees, during the period of my (or my child's) participation. I understand completely the above agreement and agree to be bound thereby. By registering on our site you agree that we may send you email related to our facilities and programs. We will not provide your details to any other company.

Signature

Payment

Which payment option have you selected? - CONFIRM PAYMENT AMOUNT Full Program ($130)1 x Session ($26)2 x Sessions ($52)3 x Sessions ($78)4 x Sessions ($104)5 x Sessions ($130)