VBSA School Registration Form

VBSA Training Course Registration

Fill out the form to register.
The VBSA will be conducting three Level 1 Score Table training courses during June 2022.

The courses will be:

Saturday June 11th, 2022 - Melton Basketball Stadium

Saturday June 11th, 2022 - Collingwood College Basketball Stadium

Sunday June 26th, 2022 - Dandenong Basketball Stadium

Course starts at 9:00am and will finish at about 2:30pm
Which course will you be attending? (Please select one)*

June 11 - Melton Basketball StadiumJune 11 - Collingwood College Basketball StadiumJune 26 - Dandenong Basketball Stadium
Name

First NameLast Name
Home Address

Street Address

Street Address Line 2

SuburbState

Post Code
Phone Number
Mobile Preferred
Your E-mail address
Association
Your home basketball association
Date of Birth

DayMonthYear
Optional
Working With Children Number
Enter your WWC or VIT Number
WWC/VIT Expiry Date

DayMonthYear
Date
Should be Empty:

VBSA Training Course Registration