GBA Nomination Form - Griffith Basketball

Griffith Junior Basketball Association 2014- Summer Competition
Nomination Information
TEAM NAME: ………………………………………………can be supplied by Association Y / N
AGE DIVISION:………………………………………
PLAYING COLOURS: SINGLETS: …………………………………………SHORTS:………………………………
CONTACT NAME: …………………………………………………………….COACH:…………………………………………………………
ADDRESS: ................................................ ...........................................................PHONE (H):……………………………………………
PHONE (W): .............................................. MOBILE: ............................................EMAIL: ............................................ ………………..
PLAYER LIST:
FIRST NAME
SURNAME
ADDRESS
PHONE
Amount Received
& Recpt No.
DOB
Form
Completed
Teams are advised that to encourage the competition to be enjoyable and stay competitive that a limited amount of representative players are
permitted to play in any one side , if you are playing in 2 divisions an extra door fee is payable to cover the court hire.