Registration form

Registration form

All Abilities Hoops WA is dedicated to providing comprehensive support for young adult participants with disabilities, focusing on the development of crucial coordination skills, motor skills, and social skills.

Our primary goal is to create a nurturing community that offers unwavering support and encouragement to all participants. We firmly believe in the transformative power of teamwork and strive to foster a sense of belonging among every individual involved.

Within our program, participants will have access to a wide range of opportunities, including roles as players, coaches, and scoreboard assistants. These roles are intentionally designed to facilitate skill development in essential areas such as teamwork, technique, and the fundamentals of the game. By actively engaging in these roles, individuals can enhance their abilities while making valuable contributions to the overall success of the team.

Our unwavering commitment is to empower every participant to reach their full potential and create a positive and inclusive environment that benefits everyone involved.

Join us as we build a strong and supportive community, united through the shared joy of basketball. Together, we can make a lasting impact and celebrate the accomplishments of all participants.

Parent Name *

Full Name*

Participant / Player

Address*

Phone Number*

Moblie

Email*

Player Date of Birth*

Participants must be 16 or over to participate

Have you been or are you in the process of being convicted of an offence?*

Select or enter value

If yes, please disclose?

Player's Disability and medical condition*

All Abilities Hoops WA, prioritise creating an inclusive and supportive environment specifically tailored to meet the needs and abilities of individuals with disabilities. By focusing on the unique challenges and strengths of our participants, we aim to provide a meaningful basketball experience that fosters personal growth, skill development, and social interaction.

Emergency Contact Full name*

Emergency Contact Number*

I acknowledge*

Annual Fee of $60.00 will be paid at the front desk at Loftus Recreational Center.

Fee for each game played is $15.00

I acknowledge*

Any injuries that are sustained whilst playing is at your own risk.

All Abilities Hoops WA will follow the Loftus protocol.

Sign *

Full Name

Date *

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