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Mallee Basketball League 2024 Participation & Indemnity Form

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Mallee Basketball League 2024 Participation & Indemnity Form 

Mallee Basketball League will kick off a 6-week season starting on February 5th, 2024. 

Games will be played on a Monday night at Murrayville, Pinnaroo & Lameroo. At the conclusion of the season, a grand final will be played between the top 2 teams.  
Under 13's and Under 16's will be played as a mixed competition and there will also be a senior women's and senior men's competition.  (Each home club may hold their own version of Mallee Hoops for younger age children.  Please contact your home club for more information regarding this.)
Matches will be played at 2 different venues each week - with 4 games played at each location over the course of the season.

Game times are 4 x 10 mins quarters:
 
Matches Starting ACDST:
Under 13's - Start 4:30pm
Under 16's - Start 5:30pm
Womens - Start 6:30pm
Men's - Start 7:30pm


To be eligible to play:
1.   this indemnity form must be signed, and 
2.  payment must be made
before you/your child takes the court.
**Parents:  Please complete a form for EACH child intending to play.

Cost:
$50 per season or $10 per game per player
Payment to be made to Mallee Basketball Association -
BSB: 633 000
ACC: 156920472

When making payment, please include the player's name as a reference, as well as the home club they are playing for.
eg Johnny Smith, Lameroo
We won't basketball to be accessible for all. If you require a payment plan please contact Stacey Morzer-Bruyns. 

We look forward to bringing basketball back to the Mallee.

If you'd like more information, please contact the league or your club reps:
League President:  Dean Coddington 0455 754 981
League Secretary/Treasurer: Stacey Morzer-Bruyns - 0427 457 657
Lameroo delegate: Lou Flohr 0429 083 927
Pinnaroo delegate: Chad Nickolls 0429 098 608
Murrayville delegate: Brady Watson 0401 962 544

Email:  malleebasketball@gmail.com

Yes No
Does the participant have Asthma
Do you authorise the committee/coach/umpire to help administer Ventolin if required
In case of an emergency do you authorise the committee to see medical care including calling an amberance
Do you have ambulance cover
Does the participant have any allergies?

Clear