Intake Form

Please provide us with the information below for every person joining/participating.

Player First Name*

Player Last Name*

Player Date Of Birth*

Parents/Guardian name

Parent/Guardian Email*

Parent/Guardian Phone Number*

Emergency Contact Number*

Any medical information the club needs to be aware of:

Gender

Male

Female

Tell us about yourself. Share your comments and/or questions:

I am going to accompany my registration by agreeing to the Club Constitution including, paying the season fees/subscription *

I Agree

I give permission for photos and videos of me (the player), to be taken and used for club promotion purposes via the club website and social media channels *

Yes

No

Get in touch

info@stallionsbasketball.com

0746 452 9585

Join today

Important Pages

Website T&Cs

Important Documents