Junior Basketball Independent Team Nomination Form

Competition Type
Select whether your team is Junior Boys or Junior Girls.
This field is required.
Age Group
Select the appropriate age group for your team.
This field is required.
Division Preference
Select your preferred division (optional).
Provide the team name (optional).
This field is required.
Enter the total number of players on the team (minimum 7).
This field is required.
Enter the team contact person’s name.
This field is required.
Enter the contact phone number.
This field is required.
Enter the club affiliation (optional).
This field is required.
Enter the club affiliation contact name and phone number (optional).
This field is required.
I understand that Nepean Valley Basketball is currently an independent competition and not affiliated with Basketball NSW. As such, registration and insurance are provided directly through Nepean Valley Basketball and not via Basketball NSW.
This field is required.
I acknowledge that all players, parents, coaches, and spectators must follow the Nepean Valley Basketball Code of Conduct and demonstrate respect towards referees, officials, and other participants. Breaches may result in disciplinary action or suspension.
This field is required.
I understand that all registration, nomination, and game fees must be paid in full before my child can participate. I also acknowledge that forfeit fines apply (whether notified or unnotified) in accordance with the Nepean Valley Basketball By-Laws.
This field is required.
I am a parent, coach or team manager of the team listed in this form and consent to their participation in Nepean Valley Basketball competitions, training, and related activities at the Penrith Valley Regional Sports Centre.
This field is required.
I acknowledge that submission of this form does not guarantee a position in the competition until my entry has been processed and all required fees have been received.
This field is required.
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