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YBA Team Registration Form
Yara Basketball Academy – Team Registration
About this form
This form is used both as a registration form for the program AND as your sports voucher registration form. All information is kept confidential in line with our privacy policy. We respect that there are questions in this form that may be sensitive. Some questions are only asked as part of the sports voucher eligibility criteria and will only be visible if selecting to use your sports voucher. We are here to help, if you would like support with this form please contact us on 0403 630 123 and we will assist with your registration.
About the Athlete
Athlete's Name
(Required)
First
Last
Gender
(Required)
Select your gender
Male
Nonbinary (assigned male on birth certificate to be eligible)
Genderfluid (assigned male on birth certificate to be eligible)
Date of Birth
(Required)
DD slash MM slash YYYY
Your Address
(Required)
Street Address
City
ZIP Code
I am interested in:
(Required)
Playing Domestic Basketball Only
Preparing for District Basketball
I am a district player and would like to also play domestic
Unsure
If you answered YES to being a district player – please share what division and club you currently play for
Does the Athlete have a disability?
(Required)
Yes
No
Please share a little more about the disability so we can best support your athlete
(Required)
ADHD
Autism Spectrum Disorder
Physical
Social / Emotional
Intellectual
Other than listed
Does the Athlete identify as Aboriginal or Torres Strait Islander?
(Required)
Yes
No
Who is your Mob?
Is English the main language spoken at home?
(Required)
Yes
No
Bi/Multi Lingual
What is your prefered language?
(Required)
Fees
Fees for the Season are $350 *this includes all your club registration costs, ALL game fees for the season and a reversible uniform to keep. (often clubs will charge you a registration fee, and then you need to pay weekly game fees which add up over the season to between $180-$200 on top of your fees – we have structured ours differently to avoid this extra cost to families) *New players also need to pay for their BSA rego fee – approx $28.97 per year, and their AJBL Annual Affiliation Fee: $10 per year. These are paid direct to those organisations and cover your player insurance, this is a mandatory fee for all players in all clubs. (if you have already paid this for the current year you will not need to pay it again)
Would you like to use your School Sports Voucher for this program?
(Required)
Yes
No, Please invoice me the full amount
Does the Athlete hold an Australian Visa?
(Required)
Yes
No
Please provide your Visa Number
(Required)
Please provide the Athlete's Medicare Number
(Required)
Please make sure you include all 10 numbers AND your child’s reference number
Session Request
I would like to book for the AJBL Winter Season Come N Try day Monday 13th April
u12’s & u14’s | 10am – 11.30am
u16’s & u18’s | 11.30am – 1pm
Come and meet our coaches, learn about our programs and receive information and support on registration options.
I already know I want to join a team and have spoken to YBA to confirm. Please add me to:
u12’s Boys
u14’s Boys
u16’s Boys
u18’s Boys
Remember – age levels differ based on district/domestic leagues. If you are under the age of the group before Oct 1 you can play domestic in that age group. example – if you are 13 or under BEFORE oct 1, you can play under 14s. If you are planning on trialling for district basketball you may want to consider playing in your district age group which is based on YEAR of birth. Example – to play under 16s you need to be born in 2012-2013. If you are unsure we can support you at the come n try day.
About the Caregiver
Caergiver Name
(Required)
First
Last
Caregiver Phone
(Required)
Caregiver Email Address
(Required)
