WNTD Basketball Tournament 2026 - Registration » Geraldton Regional Aboriginal Medical Service

WNTD Basketball Tournament – Register Today!

Dates: 18th - 22nd May 2026

Location: GABA Geraldton Stadium

Time: 3:30pm - 6:00pm

Team Details

Team Name*

Organisation Name*

Participant Information for Each Team Member

DETAILS

Full Name*

Date of Birth*

Age*

Gender*

Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

EMERGENCY CONTACT

Full Name*

Relationship*

Phone Number*

MEDICAL INFORMATION

Do you have any medical conditions?*

YesNo

Do you have any allergies?*

YesNo

Please indicate your smoking/vaping status*

Are you interested in quitting smoking or vaping?*

YesNo

MAIN CONTACT INFORMATION

My Email Address*

My Phone Number*

Consent

Consent & Agreement*

I, the undersigned, certify that the information provided is accurate. I understand that participation in basketball involves physical activity and potential risk of injury. I agree to abide by the rules and regulations of the program.

Particpiant Signature*

Today's Date*

Parent/Guardian Name (if under 18)

Guardian Signature

Today's Date

Photo & Video Consent

I give permission for photographs and/or video recordings of the participant to be taken during training sessions, games, and events.

I understand that these images and recordings may be used for promotional purposes, including social media, websites, newsletters, and other marketing materials.

I understand that no personal identifying information (such as full name) will be published without additional consent.

I do NOT give permission for photographs or video recordings of the participant to be used.

Best of luck to all teams!

submission deadline: 4pm, 11th May 2026 AWST

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WNTD Basketball Tournament 2026 - Registration

WNTD Basketball Tournament – Register Today!

Team Details

Participant Information for Each Team Member

DETAILS

EMERGENCY CONTACT

MEDICAL INFORMATION

MAIN CONTACT INFORMATION

Consent

Geraldton Regional Aboriginal Medical Service

Murchison Outreach Service

Carnarvon Gascoyne Outreach Service

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