Cobham Cobras Basketball

View Classes

Registration

Student

First Name

Surname

Gender

* What School/ Basketball Club does your child attend?

* Previous Playing experience:

* What school year is your child in?

* Address:

* Medical Conditions - Please provide details of any medical information our coaches should be aware of:

* Please provide further information relating to the medical condition/s you have selected we should be aware of:

Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months. If "Yes", please indicate your disability:

* Emergency Contact Information:

* Permission to walk home after club independently?

Yes

* Who will collect the child at end of the session? Or please confirm if you give permission for your child to walk home independently.

* Do you consent to your child appearing in photos or videos taken during Cobham Cobras activities for promotional use (e.g. social media and website)

** Please indicate whether you are happy to be contacted in relation to news, events, camps etc in the future by the Cobras Basketball Club:

Customer

First Name

Surname

Password

Password confirmation

* Do you consent to your child appearing in photos or videos taken during Cobham Cobras activities for promotional use (e.g. social media and website)

Please be mindful when sharing photos or videos from Cobham Cobras activities or games on your personal platforms, especially where other children are visible and seek parental consent where appropriate.

** Please indicate whether you are happy to be contacted in relation to news, events, camps etc in the future by the Cobras Basketball Club:

I agree to the Terms & Conditions and Privacy Policy