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Senior Representative Player Form

  • Agreement Covering Player and Player’s Parent/s (or Guardian)


    This agreement and subsequent form (Senior Representative Player Details) must be signed by the player and parent/guardian (if under 18 years) where indicated and submitted (followed by payment of deposit) as soon as possible, to be eligible for the season

  • Participation and involvement in the Association’s Senior Representative Program by both the Player and Parent/s or Guardian (if applicable), is conditional upon acceptance of the terms and conditions included in the Senior Representative Manual, Guidelines & Policies Agreement.


  • Senior Representative Player Details

  • Date Format: DD slash MM slash YYYY

  • Parent / Guardian Details (if player is under 18 years)


  • Parent / Guardian Details

  • Please advise if there are any special circumstances (ie, court orders, custody matters) of which the Senior Representative Management Committee, Team Coach, Manager or the Board of Management of the Tamworth Basketball Association should be made aware.
  • Medication should be clearly marked and the Team Manager made aware of any changes and action to be taken in case of an emergency). Appropriate medical / hospital treatment will be sought as a result of any accident or injury.
  • I give permission to be given the recommended dose of paracetamol and or prescribed medication if deemed necessary due to pain, injury, or allergic reaction. Prescribed medication requires detailed instruction on how to apply or use and a copy to be given to Manager and Administrator for records.

  • Signed by Player (or Parent / Guardian if under 18 years)

  • Date Format: DD slash MM slash YYYY