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BASKETBALL SA HOLIDAY CLINICS

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					 BASKETBALL SA HOLIDAY CLINICS
  Fun Basketball Clinics for children aged 5-12 years


REGISTRATION FORM
 Venue: Please tick the relevant venue below:


 APRIL 2010:
 Wednesday 7th April
 PT ADELAIDE RECREATION CENTRE
 50 St Vincent St, Pt Adelaide
 Contact Bob Hunnerup:
 Ph: 8241 0655 or 0418 844 864 / Fax: 8241 0053
 E-mail: bhunnerup@basketballsa.com.au

 Thursday 8th April
 MORPHETT VALE STADIUM
 Wilfred Taylor Reserve, States Road, Morphett Vale
 Contact Aaron Sprigg:
 Ph: 8326 2008 or 0447 744 015 / Fax: 8362 1567
 E-mail: asprigg@basketballsa.com.au

 Tuesday 13th April
 PASADENA SPORTS CENTRE
 Cnr Daws Rd and Goodwood Rd, Pasadena
 Contact Sarah Fry
 Ph: 8374 4818 or 0419 851 769 / Fax: 8374 4819
 E-mail: sfry@basketballsa.com.au
  INFORMATION:

  Cost: $30 includes a basketball (yours to keep!)
        $20 if basketball is not required

  Time: 9am - 3pm (Registrations start at 8:30am)

  Lunch is not provided. Canteen facilities are available


Name: ……………………………………………………….. ……………………….                             DOB: ………………………………………….

Health Issues: ………………………………………………………………………………………………………………………………………

School:    ……………………………………………………………………………………………………………………………………………….

E-mail:    ………………………………………………………………………………………………………………………………………………..

Emergency Contact Name: ……………………………………………………                    Phone: …..……………………………………………

Payment (please circle):   Cash - $20       Cash - $30      *Cash payments made on arrival

Send the registration form to the fax numbers and e-mail addresses above
or fax to the Basketball SA Head Office on (08) 8345 4212

				
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Description: BASKETBALL SA HOLIDAY CLINICS