Brisbane Capitals - Brisbane Capitals

Commencing Tuesday, August 9th (6-8pm) at Yeronga SHS

Participant Information

Participant First Name

Participant Last Name

Date of Birth

Gender

Male

Female

Mobile

Suburb

What club do you play for?

Which program/s are you registering for?

Tuesday 9th of August

Tuesday 16th of August

Tuesday 23th of August

Tuesday 30th of August

Tuesday 6th of September

Tuesday 13th of September

Please ensure the number of programs chosen is in line with your above selection

Cost is $120 for the program. We don't pro-rata for the sessions missed.

Credit Card Number

Expiry Date

CVC/CVV

I acknowledge that Brisbane Basketball will not process refunds for participants that withdraw within 48-hours of their select programs