Tridents Online Payment Page

Player Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Registering more than one player?
- Yes
If you are registering more than one player for underage participation in a family then you can avail of the 2 underage memberships for the price of 1discount. If you are registering for more than 2 children then please contact the Secretary of the Club, [email protected]
Second Player Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Parent/ Guardian 1*
First Last
Parent/ Guardian 1 Phone No.*
Parent/ Guardian 2*
First Last
Parent/ Guardian 2 Phone No.*
Parent/ Guardian 2 Email*
Phone*
Email*
Emergency Contact*
Please provide an emergency contact number
Mother's Maiden Name*
Team*
Please Select which team you wish to register for
Player/Coach Registration*
If paying in two spearate amounts then first payment must be paid prior to season commencement and second payment must be paid prior to season resume in the new year.
Do you give consent to Tridents Basketball Club posting images of your child to Website/Social Media Pages*
- Yes
- No
Can Tridents basketball club post images of underage games/players on the official tridents website and Social Media pages?
Medical/Injury History*
- Yes
- No
Do you have any relevant medical issues or do you have any relevant injury issues which the club should be made aware of?
Medical/Injury History*
Please describe any medical conditions and any other relevant information