Full Name (required)

Address (required)

Date of Birth*: (in some browsers, reqd format is yyyy-mm-dd)

Age*:

Parent/Guardian Name (required if under 16) - type N/A if over 16

Parent/Guardian Address (required if under 16) - type N/A if over 16

Please state if any which West Midlands Area Club or group you are associated with (if applicable, type N/A if not applicable).

T-Shirt Size*:SMLXLXXL

After pressing "SEND" proceed to make the payment for the course fee of £xx.xx to the City of Birmingham Basketball Club using the details below, your place will be confirmed via reply once the course fee has been received.

Pay by Bank Transfer
Account Name: City of Birmingham Basketball
Account Number: 71487442
Sort Code: 40-32-03

Reference - REF L1