Brent Blazers Basketball Club - Player Registration

Welcome to the Blazers family! Please complete the registration form below for training, match play, and official club roster placement.

1 Player Information

Full Name *

Date of Birth *

Gender *

Ethnic Background (Optional)

Collecting optional ethnicity data helps Brent Blazers Basketball Club monitor equal opportunities, secure community funding and grants, and ensure our programs remain inclusive and accessible to all players in our community.

School Details

Current School / Academy Name *

School Year / Grade *

Plays for School Team?

2 Age Group Division

Select division based on player age as of January 1st.

Under 14s — Ages 8–13

Under 18s — Ages 14–17

3 Parent / Guardian & Emergency Contact

Please provide parent / guardian details and emergency contact information.

Parent / Guardian Name *

Parent / Guardian Phone *

Parent / Guardian Email *

Emergency Contact

Emergency Contact is Parent or Guardian
Check this box to automatically copy parent / guardian details below.

Emergency Contact Name *

Relationship to Player *

Emergency Phone Number *

Emergency Email Address *

4 Medical & Apparel

Medical Conditions, Allergies & Medications

T-Shirt / Kit Size (Unisex) *

5 Waivers & Authorisation

Liability Waiver *
I certify the player is physically fit to participate. I understand basketball carries risks of contact and injury, releasing Brent Blazers Club staff from liability.

Medical Release *
I authorize staff to seek professional medical treatment if emergency contacts cannot be reached in time.

Privacy Policy Agreement *
I have read and agree to how Brent Blazers Basketball Club collects, processes, and protects personal data in accordance with our Privacy Policy.

Media Consent (Optional)
Permission for photos/video during club activities to be used on official website & social platforms.

6 Digital Signature

Signature (Type Full Legal Name) *

Date Signed *

Youth Player Registration Form