Membership

2009-10 Season membership Fees

Dear Player/Parent

2009/10 Season

The attached membership form should be completed and brought to your next training session.  Fees for the 2009/10 Season have not been increased, despite the letting costs for the sports hall increasing.  The fees, which include all training & match fees for the season until 31 July 2009, insurance cover and membership of England Basketball, are set out below.  Players who pay their fees by the due date will be entitled to the discounted rates shown in brackets (if you agree, and stick to, an instalment plan, you will also be entitled to pay fees at the discounted rate) and will be entered into a free draw for an Iroquois shirt on 6/10/09 & 5/1/10:

                             Membership              Training/Match Fees

                             (due now)        (due 6 October)     (due 5 January)

U12’s (Years 5-7)               £5                £45 (£35)      £45 (£35)

U14’s (Years 8-9)               £10               £60 (£50)      £60 (£50)

U16’s (Years 10-11)            £15               £75 (£65)      £75 (£65)

U18’s (Years 12-13)            £20               £80 (£70)      £80 (£70)

Payment should be by cheque payable to “Iroquois Basketball Club” or electronically into the Club’s Bank account (and letting me know):

Iroquois Basketball Club       Barclays Bank plc      40402818      20-24-00

Please contact me, in confidence, if you need to make different payment arrangements or in cases of financial hardship.  If you have any queries or concerns, please do not hesitate to contact me.

Keep up to date with fixtures and the latest club and basketball news on our website:          www.iroquoisbasketball.leaguerepublic.com

Yours sincerely

Derek Lewis

Secretary & Head Coach

01474 705 115 (H) / 07973 709329 (M)

derek.lewis1@virgin.net

Junior Membership Form

Player Registration Form

Player Information:

Name:                                                                                                                                                   

Address:                                                                                                                                               

Email Address                                                                         Mobile                                                

Date of Birth:                                                       Current School Year:                                        

Sex:                                        ڤ Male        ڤ Female   (please tick)

Level of Basketball Experience:                                                                                                      

Emergency Contact Name:                                                                                                               

Relation to Child:                                Emergency Phone Number:                                             

Parent/Guardian Information:

Name                                                                                                                                                     

Home Telephone                                  Mobile                                                                   

Email Address                                                                                                                                     

I consent to my child participating in the activities of Iroquois Basketball Club and to being included in any photographs taken at such activities.  I understand that in the event of injury or illness all reasonable steps will be taken to contact me (or the nominated emergency contact), and to deal with that injury/illness appropriately.  I give consent for an anaesthetic to be administered to my child on the advice of a medical practitioner.  I set out below, details of any medical conditions from which my child is suffering, together with details of any current treatment/medication (if none, please state “NONE”).  I undertake to immediately notify the Club of any changes to the notified medical status/conditions.

Relevant Medical Details:

Signed   ………………………………………..             Date        ………………………….

Senior membership Form

Player Registration Form

Player Information:

Name:                                                                                                                                                   

Address:                                                                                                                                               

Email Address                                                                         Mobile                                                

Date of Birth:                                                                       Sex:        ڤ Male        ڤ Female                                                                                         (please tick)

Level of Basketball Experience:                                                                                                      

Emergency Contact Name:                                                                                                               

Relation to Player:                              Emergency Phone Number:                                             

I consent to participating in the activities of Iroquois Basketball Club and to being included in any photographs taken at such activities.  I understand that in the event of injury or illness all reasonable steps will be taken to contact my nominated emergency contact and to deal with that injury/illness appropriately.  I give consent for an anaesthetic to be administered on the advice of a medical practitioner. 

I set out below, details of any relevant medical conditions from which I am suffering, together with details of any current treatment/medication (if none, please state “NONE”).  I undertake to immediately notify the Club of any changes to the notified medical status/conditions.

Relevant Medical Details:

Signed   ………………………………………..             Date        ………………………….