Register – APRI

D.A.F ADMISSION FORM

Name

Home Address

Phone Number (Please provide a number we can reach you with, if you don't have a phone)

Date of Birth

Age Bracket (If you are under 18, please provide your guardian's infomation below)

18 & Above Under 18

Guardian's Name

Guardian's Email

Guardian's Phone Number

Do you have any medical condition? If yes, Please tell us the condition below.

Yes No

Medical Condition

Do you have any basketball experience?

Yes No

Why do you want to play basketball or be a member of the academy?

Emergency Contact's Name

Emergency Contact's Phone Number

Upload Your Passport Photo

PLEASE NOTE THAT TO BE ACCEPTED INTO THE ACADEMY AS A NEW MEMBER, YOU MUST PROVIDE A BASKETBALL FOR THE ACADEMY