U12 GIRLS SIGN-UP

MATCHES

U12 Girls National League

TRAINING

Thursdays : 5.40 - 7pm

@ Billericay School

COACHING STAFF

HEAD COACH : Alex Potter - 07932146231 alexpchampions@icloud.com

ASSISTANT COACH : Esmee Bausor

ASSISTANT COACH :

KEY PEOPLE

TEAM MANAGER : Rebecca Saxton andyandreb@btinternet.com 07881 522172

CLUB TREASURER : Claire Lim - brentwoodfiretreasurer@gmail.com

CLUB CLOTHING : Tracey Waite - brentwoodfirekit@gmail.com

CLUB FIXTURES : Jenni Brann - brentwoodfirefixtures@gmail.com

SIGN-UP FEE

£50 payable by 31st July

MONTHLY FEE

£24 standing order commencing 10th September and running for 12 months

Covers all training, matches, BE registration, coach expenses. Does not cover tours and additional playoff matches

BANK DETAILS

Account Name : Brentwood Fire Basketball Club

Account Number : 83757390

Sort Code : 20-12-21

TEAM TOUR

TBC

PERSONALISED GAME KIT

All Fire players must order their own Game Kit which includes Vest, Shorts and Warm-Up T-Shirt

KIT ORDER FORM

Please complete the form below and send by Friday 31st July 2018

Parent Agreement

Parent - I have read the Parent Agreement

Player Agreement

Player - I have read the Player Agreement

Players Name

First Name

Last Name

Date of Birth

PLEASE NOTE : MONTH / DAY / YEAR

YYYY

Gender

School

School Year

Player Mobile No.

Year 7 and above only

Player Email Address

Year 7 and above only

Ethnic Origin

For Basketball England Registration

Medical Conditions / Educational Needs

* by completing Medical/Educational Needs you have given consent for us to hold this information under special category data

Parent/Guardian 1 Name

First Name

Last Name

Parent/Guardian 1 Mobile No.

Parent/Guardian 1 Email Address

Parent/Guardian 2 Name

First Name

Last Name

Parent/Guardian 2 Mobile No.

Home Address Line 1

Home Address Line 2

Home Address Line 3

Home Address Line 4

Home Address Post Code

Sign-Up Fee Paid Date

PLEASE NOTE - Month / Day / Year

YYYY

Monthly Standing Order Date Set

PLEASE NOTE - Month / Day / Year

YYYY

u12 GIRLS SIGN-UP

U12 GIRLS SIGN-UP

MATCHES

TRAINING

COACHING STAFF

KEY PEOPLE

SIGN-UP FEE

MONTHLY FEE

BANK DETAILS

TEAM TOUR

PERSONALISED GAME KIT