Club Details

Club/School Team (required)

Head Coach (required)

Club Email (required)

Club Phone Number (required)

How many teams would you like to enter (required)

Age Division(s) entering - U11, U13, U15, U17 and U16 girls (required)

Any special requirements (required)

Payment options
Payment Amount*:

The deposit payment or full payment per team needs to be made before 1st May 2018.
Amounts are £120 - Deposit per team, £315 - Full payment per team.
Please make the payment using the details below and include your team name:

Pay by Bank Transfer

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