Please complete this form to submit an Expression of Interest for the Hoop City U (Development Program)

Athlete First Name *

Athlete Last Name *

Athlete Date of Birth *

Parent/Guardian Full Name

Email *

Mobile *

Post Code *

Years of Basketball Experience *

Do you play VJBL Representative Basketball?

If Yes, what team do you play for?

Preferred Training Days/Times (please select all available times)

The Program has been designed with flexibility in mind. As such, the Program schedule will incorporate both mandatory and voluntary sessions (on and off court).

How many sessions are you likely to want to attend each week (each session will be 60mins)?

1 per week

2 per week

3 or more per week

Additonal comments