Bangkok Junior Basketball League

*First Name

*Last Name

Nick Name

*Date of Birth

*Gender	*Mobile Phone	*Email	*Height (cm)	*Skill Level	*Uniform Size
*Gender Male Female	*Mobile Phone	*Email	*Height (cm)	*Skill Level	*Uniform Size

*School Short Name

*School Full Name

Required Main Contact Person:

*Name of Main Contact Person	*Relation to Player	*Mobile Phone	*Email	*Home Phone	*Office Phone
*Name of Main Contact Person	*Relation to Player Father Mother Guardian	*Mobile Phone	*Email	*Home Phone	*Office Phone

Main Contact Postal Address:

Address Line 1	Address Line 2	Province	Postal Code
Address Line 1	Address Line 2	Province	Postal Code

Optional Second Contact Person:

Name of Second Contact	Relation to Player	Mobile Phone	Email	Home Phone	Office Phone
Name of Second Contact	Relation to Player Father Mother Guardian	Mobile Phone	Email	Home Phone	Office Phone

Course Registration Section:

*Choose Course Code

Course Name

Course Type Code

Course Type Name

Course Description

Bangkok Junior Basketball League for Girls Ages 9-11.

Schedule Description

Sundays (February 11, 2018 - May 13, 2018 + 1 day tournament) 13:30-14:30

Location	For Gender	Age Range		Age as of Date	Course Start to End Date		Registration Open to Close Date
Location	For Gender	Age Range		Age as of Date	Course Start to End Date		Registration Open to Close Date

No. Hrs. Per Week	No. Weeks	Total Hours	Course Price	Allow Per Session?	Price Per Session
No. Hrs. Per Week	No. Weeks	Total Hours	Course Price THB	Allow Per Session?	Price Per Session THB

Type of Registration

Your Cost

THB

Your Cost Per Session :

THB

*Discount Reason

N/A

Notes to Staff

Waiver Statement

I, the parent or guardian of the player named above, acknowledge that when my child is playing/participating/performing basketball activities s/he may suffer injury. I release Top Flight Basketball Co. Ltd and the School from any liability concerning any injury or harm suffered by my child during or as a consequence of participation in the activities.

* I agree

Registration Form

Required Main Contact Person:

Main Contact Postal Address:

Optional Second Contact Person:

Course Registration Section: