Participant Information

Participant First Name

Participant Last Name

Date of Birth

Mobile

Suburb

Which program/s are you registering for?

Please ensure the number of programs chosen is in line with your above selection

Monday 20th January

Tuesday 21st January

Both Days

Payment

Please make sure you have selected the correct number of days you wish to attend.

I acknowledge that Brisbane Basketball will not process refunds for participants that withdraw within 48-hours of their select programs

Stripe Payment

No Stripe integration selected