(* denotes field is mandatory)

Player Details


Gender*:MaleFemale

Age*:

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

Address




Parent Contact Details


Other Details:
(Medical conditions, dietary requirements, allergies etc, if none add N/A)

Please advise in the text area below on your child's dates of attendance.

How did you hear about us?*:

TO CONFIRM ATTENDANCE, PLEASE PRESS 'SEND'.

After pressing "SEND" proceed to make the payment using the details below: Amounts are £20 per day or £50 for the week.

Pay by Bank Transfer

Account Name: City of Birmingham Basketball
Account Number: 21487450
Sort Code: 40-32-03

Information sharing?, please read the policy below*:

Privacy/Information Sharing Policy