Registrations

Select the link for the registration form you require:

*You MUST fill out a form for every camp or event you wish to attend*

REGISTRATION FORM **Four Day High Las Vegas Tour & Development Camp/ Las Vegas Trial**
Thursday January 18- Sunday January 21, ASB Sports Centre, Kemp St, Wellington

SECTION A

First Name (required)

Last Name (required)

Your Email (required)

Registering As (required)
 Trialist Casual

SECTION B

Gender (required)
 Male Female

Street address

Suburb

City

Postcode

Home Phone

School

Date of Birth (required)

Name of Parent / Guardian (required)

Parent / Guardian Phone or Mobile (required)

SECTION C
Camp Cost:
Standard Price: per day-$45.00 and four days-$180.00

Payment Method
 Cash Internet Banking

If paying via internet banking then please deposit into the following account using the reference instructions in your confirmation email

NZ Basketball Academy Inc.

Kiwi Bank

Account no: 38 9012 0063026 00

Please input the characters in the image below
captcha

If you do not receive an auto reply confirming your registration, please contact Soozie Trego at: registrations@nzbasketballacademy.com

Disclaimer: By registering your son/daughter you give consent to photographs being taken at training camps and overseas tours and being publicly displayed on our website and social sites.

Permanent link to this article: http://www.nzbasketballacademy.com/registrations/