Oxford Elite Basketball Academy

MEMBERSHIP FORM

Welcome to Oxford Elite Basketball Academy.

To ensure we have the correct contact details for you, please fill out this form

Section A: MEMBER DETAILS. Member Full Name*

This field is mandatory

Address, City, Postcode*

This field is mandatory

Date of Birth (DD/MM/YYYY)*

This field is mandatory

Name of School*

This field is mandatory

Are you a member of any other sports club? (If yes, please state which club and which sport)*

This field is mandatory

Oxford Elite Basketball Academy Membership number*

This field is mandatory

Basketball England Membership if have one*

This field is mandatory

SECTION B: PARENT/CARER DETAILS / Full Name*

This field is mandatory

Address, City, Postcode*

This field is mandatory

Mobile number*

This field is mandatory

Email Address*

This field is mandatory

SECTION C: PARENT/CARER HELP. Please tick areas that you would be interested in helping with.*

This field is mandatory

Helping at athletic meetings

Refreshment area

Fund raising

Assisting Training

Team management

Promotion and marketing

Other (please specify)

SECTION D: MEDICAL INFORMATION.Please detail below any important medical information that our staff should be aware of (e.g. epilepsy, asthma, etc.)Do not leave blank-if there is no info write NONE*

This field is mandatory

SECTION E: EMERGENCY CONTACT DETAILS. Please insert the information below to indicate the persons who should be contacted in event of an incident/accident. Emergency contact one FULL NAME*

This field is mandatory

Emergency contact one Phone number: *

This field is mandatory

Emergency contact two FULL NAME*

This field is mandatory

Emergency contact two Phone number: *

This field is mandatory

SECTION F: PARENTAL/CARER AGREEMENT *

This field is mandatory

By returning this completed form, I agree:To the named athlete taking part in the activities of the club.

That I have read and agree to abide by the club code of conduct whenever I am present at club activities or competition

I hereby agree that this data will be stored and processed for the purpose of establishing contact. I am aware that I can revoke my consent at any time.*

This field is mandatory

* Indicates required fields

There was an error submitting your message. Please try again.

Thank You for your Registration !

We look forward to welcoming you and your family to the club in the near future. To find out all the latest club information, please visit our website www.oxfordeliteacademy.co.uk

© 2023 All rights reserved Oxford Elite Basketball Academy

We need your consent to load the translations

We use a third-party service to translate the website content that may collect data about your activity. Please review the details in the privacy policy and accept the service to view the translations.

This site uses third-party website tracking technologies to provide and continually improve our services, and to display advertisements according to users’ interests. I agree and may revoke or change my consent at any time with effect for the future.
Privacy Policy More

Privacy Settings

Website Translator

Privacy Settings

This tool helps you to select and deactivate various tags / trackers / analytic tools used on this website.

Toggle

Select all services

Toggle

Website Translator

Toggle

Google Maps