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Junior Representative Information
Home
About Us
Our Location
Contact Us
Sutherland District Basketball Association Constitution
SDBA Board of Directors
SDBA Staff
Our Policies
Our Vision & Strategic Plan
Customer Feedback: Suggestions and Complaints
Development
2023 Holiday Basketball Camps
2023 Sharks Development Classes
Competitions
Competitions
Senior Competitions
Junior Competitions
Competition Draws Results and Ladders
Representative
Junior Representative Information
Junior Representative Commitment 2021
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Junior Representative Commitment 2021
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Junior Player Commitment Information 2021
Junior Representative Player Information and Agreement
The contact and medical information collected in this form will be collated and distributed to your child's team Coach and Manager for their reference while your child is in their care.
Players Name
First
Last
Players Date of Birth
DD dot MM dot YYYY
Player type
Team player
Reserve Player
Team Selected in
Please select the team your child has been placed in
12B1
12B2
12G1
12G2
14B1
14B2
14B3
14G1
14G2
16B1
16B2
16B3
16G1
18B1
18B2
18G1
18G2
Parent/ Guardian Name
Parent/ Guardian Phone
Parent/ Guardian Email
Alternate or Emergency Contact Name
Do you wish to provide an alternate or emergency contact ?
Alternate or Emergency Contact Relationship to Child
Alternate or Emergency Contact Email
Alternate or Emergency Contact Phone
General Information
Please provide any information regarding home life that the Coach or Manager should be aware of.
Medical conditions
Does your child suffer from any medical condition that the Coach or Manager should be aware of? If Yes, please provide details
Allergies
Does your child suffer from any allergies that the Coach or Manager should be aware of? If Yes, please provide details.
The following information will only be used in an emergency situation if the parent or emergency contact is not available.
Medicare Number
Position on Medicare Card
Private Health Fund Name
Private Health Fund Number
Are you covered for ambulance services
Yes
No
Consent
In the event of any accident or illness incurred during a SDBA sanctioned game or training session, I authorise the obtaining on my behalf of such medical assistance by licensed medical personnel, as my child may require. I accept full responsibility for all expenses incurred. I release and agree to hold SDBA harmless from any claims due to illness suffered by my child in the course of receiving such medical treatment and consequences that may arise as the result of this treatment.
I agree to medical assistance being sought in my absence
Acceptance
REPRESENTATIVE PLAYER & PARENT AGREEMENT:
To represent Sutherland Basketball Association is a privilege not to be taken lightly. Involvement in our Representative Program not only reflects outstanding individual skills but also implies a sound understanding of the positive philosophies of development, teamwork and sportsmanship.
Please read the The Sutherland Sharks Representative Information for the 2022 Season on the SDBA Website.
This document outlines the minimum standard of performance and behaviour expected of all players & parents involved with the Sutherland Basketball Association Representative Program in accepting a position within a SDBA Representative team:
We have read and accept the Player/Family agreement
Acceptance
We have read ,understand and will abide by the BNSW Codes of Conduct for Players and Spectators and the BNSW Zero Tolerance Policy
Fees
I understand that there are fees associated with playing representative basketball for Sutherland Basketball Association.
I agree to pay all fees outlined by the due date..
Local Competition Commitment
All junior representative players are required to play in the Sutherland Basketball Association 2021/22 Local Competition. Players will be deemed to have taken part in Local Competition by qualifying for finals. If there is a legitimate reason a player cannot fulfill this commitment they will need to apply in writing to the Representative Manager for an exemption.
I understand thaI understand that my child is required to play local competition for Sutherland Basketball.
Use of Photographs
I understand that SDBA and BNSW will use photographs and some personal information on the SDBA & BNSW website and in various literature, newsletters and related publications and agree to the reasonable use of such photographs and information.
I agree to the use of Photos
Major Sponsor
Partners