STARTING SOON! 2021 Big Q Carnivals 4/19/2021

“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                            

 

EFT  *

Mastercard  *

Visa  *

Cash or Cheque  *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name on Card:

Signature:

Expiry Date:               

Pay Amount:

 

 Team name:

                               

 

*All fees must be paid prior to Big Q Carnivals


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