Holiday Program Registration Form

Participant Details

Please provide all the required information in the below form.

Payment will be processed in the facility prior to the first session.

Thank you! Your submission has been sent successfully.

Full Name

Date of Birth

Age

Gender

Address

Suburb

Postcode

Parent/Guardian (If Under 18)

Select Your Program

Emergency Contacnt Name:

Emergency Contact Relationship

Emergency Contact Phone Number

Allergies/Conditions

Medications

Other Information

I give permission for images and videos of my child to be used for promotional use

I do not give permission for images and videos of my child to be used for promotional use

I give permission for my child to participate in The Hustle Hub Academy training sessions and acknowledge basketball is a physical activity. I agree The Hustle Hub and its staff are not responsible for injuries sustained during training or related events (Signature required before first session)

I myself, and/or on behalf of the participant agree to The Hustle Hub Elite Sports Performance's Terms & Conditions of Use