Welcome to CPSM - Summer 26/27

Please complete this form in order to be placed into a team for 26/27 Season

Please note if you are returning player - that prior season Club fees must be paid before you will be eligible to be placed into a team

Please ensure you have read through the Code of Conduct on the Penrith District Basketball Association webpage

Returning or new player

Returning player

New Player

Players Full Name

Players DOB

If you are transferring from another Penrith club or Association - please state which one.

Have you recently or have been recently selected to play representive basketball for Penrith or another Association

Yes

Age/Division played

Parent/Guardian Contact Name

Parent/Guardian email

Parent/Guardian Phone

Extra Comments

Please check appropriate boxes Required

I have read through the Welcome Information page.

I agree to abide by the codes of conduct set out by Penrith Basketball Association

I understand the costs to play includes both Club Fees and Basketball NSW/Penrith registration fees

I understand that I need to pay $60 Club Membership Fee for Summer 26/27 Season (merchant fee will be added to credit card payment)