Player Details


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


Nationality (required)


School Name (if applicable or N/A)

School Year as of Sept 2017 (if applicable or N/A)

Parent/Guardian Name (required)

Parent/Guardian Email (required)

Parent/Guardian Phone Number (required)


Do you consider yourself to have a disability?

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

How did you hear about us?*:

Please advise if you have any objections to the player being included in promotional photography or videos relating to the club. Answer*:

I would like to receive updates about upcoming news and events and club information from City of Birmingham Rockets Basketball Club via,
SMSEmailTelephonePostI would not like to be contacted