Registration Form

Winter 2025

Please note if you are returning player - that prior season fees must be paid before your name will before you register

Please ensure you have read through the Codes of Conduct on the Penrith District Basketball Association webpage

Returning or new player

Returning player

New Player

Players Full Name

Players DOB

If you are transferring from another Penrith club or Association - please state which one.

Have you recently or have been recently selected to play representive basketball for Penrith or another Association

Yes

Age/Division played

Parent/Guardian Contact Name

Parent/Guardian email

Parent/Guardian Phone

Extra Comments

Please check appropriate boxes Required

I have read through the Welcome Information page.

I agree to abide by the codes of conduct set out by Penrith Basketball Association

I understand the costs to play including Club Fees and Basketball NSW/Penrith fees

I understand that by continuing to check out I will pay $50 registration fee (merchant fee will be added to credit card payment)