PVRSC Junior Basketball – Player Registration & Placement

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Enter your child’s first name.
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Enter your child’s last name.
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Age divisions are determined by year of birth in line with Centre guidelines.
dd/mm/yyyy
Program Interest – Only select 1 (Learn to play will transition into Competition)
Which program are you registering for?
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Gender of Child
Select your gender.
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Primary Medical Question
Does the participant have any medical condition, injury, allergy, or additional need that may affect their safe participation? (It is the parent/guardian’s responsibility to notify the Centre of any changes to medical information during the season.)
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I confirm that all relevant medical information has been disclosed and that my child is fit to participate unless otherwise advised.
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High School / Intended High School (optional – helps us group friends where possible)
Select your high school or specify another.
Please type the name of the school.
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Current Suburb
Select your current Suburb – if outside Penrith LGA, select other and type in your suburb.
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Type in your suburb. We use this to determine the best club for you.
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Enter the Full name of the parent or guardian.
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Enter a mobile number for contact.
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Has the player played before?
Please select Yes or No.
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If yes, where?
Select where the player has played before.
Enter the number of years played in basketball.
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Enter the current division if applicable.
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Type the name of your club.
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What skills best describe this player?
(Select all that apply)
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Friend requests will be considered where possible but cannot be guaranteed. Final team allocation is determined by the Centre to ensure balanced and competitive divisions.
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Penrith Valley Regional Sports Centre (PVRSC) collects personal information, including player and parent/guardian details, for the purpose of administering programs, competitions, team allocations, communication, insurance requirements, and the safe operation of activities at the Centre.
Information may be disclosed to relevant sporting bodies, insurers, competition officials, or service providers where required to deliver programs or comply with legal obligations.
Personal information is stored securely and handled in accordance with applicable Australian privacy laws.
By submitting this form, you consent to PVRSC collecting and using this information for the purposes outlined above.
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We follow Basketball Australia’s Photography and Filming Guidelines and Child Safeguarding requirements.

• Photos and videos of activities may be taken by the Centre for promotional, communication, coaching, and archival purposes.
• By registering, you provide written consent for your child to be photographed or filmed by the Centre for these purposes.
• Details about how images are used, stored, and managed are outlined in our Privacy Policy.
• Images will not be published with personal identifying details without specific additional consent.
• A child’s own wishes about being photographed will be respected where appropriate.
• You may notify us at any time in writing if you do not want your child’s image taken or used.
• In public event spaces, photography may occur that we cannot control; we will take reasonable steps to manage this in line with best practices.

Parents/guardians may request restrictions on image use by notifying the Centre in writing.
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In the event of injury or medical emergency, I authorise Centre staff to seek appropriate medical treatment for my child, including ambulance transport if required, where I cannot be contacted. I understand that any medical or ambulance costs incurred are the responsibility of the parent/guardian.
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I acknowledge that participation in basketball involves risk of injury and I consent to my child participating at their own risk.
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I agree that both I and my child will comply with the Centre’s Code of Conduct and behavioural standards
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I confirm that I am the parent/legal guardian of the participant and I consent to their participation in programs and competitions conducted by Penrith Valley Regional Sports Centre. I confirm that the information provided is accurate to the best of my knowledge.
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