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Player Details


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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.

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: 71487442
Sort Code: 40-32-03