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Lakes Estate Basketball Registration Form – 13 to 18 yrs
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Participants name
*
First
Last
Parent/Guardian Name
*
First
Last
Participants Age:
Parent/Guardian Telephone number:
Parent/Guardian email
*
Parent/Guardian address
Medical Conditions
Yes
No
If yes, please specifiy:
Can we include your child in photographes taken at the sessions which will be used on our website and social media pages? Please tick.
Yes
No
Ethnic Group
Asian
Black
Caucasian
Mixed
Other
Prefer not to say
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