Long Stratton

Player's Name *

First Name

Last Name

Player's Birthdate

MM

DD

YYYY

Photograph Consent *

Yes, the player can have photographs taken

No, the player is not able to have photographs taken

First Aid Consent *

Yes, the player can have first aid treatment givenn by a qualified first aider at a Hoopstars session

No, the player is not able to have first aid treatment at a Hoopstars session

We have been awarded funding to support asylum seekers and refugees to participate in basketball. If you would like to recieve financial support in the form of a free space for you and your child, please confirm your immigration status below: *

Asylum Seeker

Refugee

No Applicable