“BIG Q” REGIONAL Monthly CARNIVAL
REGISTRATION FORM
(Two Games Per Carnival Per Team)
Age groups U/10, U/12, U/14, U/16, U/18 & Seniors
Fill out and return to: southwestqldbasketball@gmail.com
Sunday May 9th Warwick (Warwick Indoor Recreation Aquatic Centre)
Sunday June 13TH Toowoomba (The Glennie School)
Sunday July 11th Gatton (Lockyer Valley Sports Centre)
Sunday Aug 8th Dalby (venue: TBD)
Team Fee - $250 per Team - must be paid prior to carnival
Limited number of teams allowed (First in Best Dressed)
Ph:
*Please complete and return this form with payment “strictly” no later than 7 days prior to event
email to: southwestqldbasketball@gmail.com
All JUNIOR TEAMS MUST HAVE A COACH Date ___________________
Team name: ______________________________________________________
Team Contact : ________________________________________________ Ph: ______________________
Contact person E-mail: ____________________________________________________________________
Name of coach: ___________________________________________________________________________
Coaches email: _________________________________________________ Ph:_______________________
Which Carnival(s) will you be attending?
*Warwick *Toowoomba *Gatton *Dalby
*Age group of team *Male team * Female Team
Home Town: _____________________________________
Payment Options below: Fee $250 – per team
BSB: 638 070 A/C: 13077295 A/C name: SWQS&RA Bank: Heritage Building Society
EFT Reference: TEAM NAME
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Mastercard * |
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*All fees must be paid prior to Big Q Carnivals