Hakeem Olajuwon COB Rockets Basketball Summer Camp 2018 Registration Form
You must be aged 18+ to complete this form. Parents/Guardians must complete this form for anyone under the age of 18

(* denotes field is mandatory)

Player Details


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




Contact Details

Basketball Details

Playing Standard*:

Camp options
T-Shirt Size*:SMLXLXXL

Payment Amount*:

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

Please advise if you have any objections to the player being included in promotional photography or videos relating to the camp or 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

TO CONFIRM ATTENDANCE, PLEASE PRESS 'SEND'. (You should receive a confirmation receipt to the parent/guardian email address).

AFTER pressing "SEND" proceed to make the payment using the details below: Amounts are £375 - Residential, £275 - Non-Residential

Pay by Bank Transfer

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

or by PayPal (inc fee).

Camp (inc card fee):
Player’s name*: