BNB Registration

Basketball New Brunswick is a not for profit volunteer corporation that enhances the growth and development of basketball for all of New Brunswick.

Basketball New Brunswick, 880 Hanwell Road, Unit 107, Fredericton, NB E3B 6A3
Phone: 506-472-4667 Fax: 506-455-4668 (fax) Email: info@basketball.nb.ca

WebSite

Registration Form

Player Information

First Name:*

Last Name:*

Birth Date:*

Gender:*

Select the player's current hight in feet and inches.

Height:*

Shirt Size:*

Short Size:*

School:

Coach:

Contact Information

Address:*

City:*

Province:

Postal Code:*

Home Phone:*

Please enter a value for Secondary Phone

Cell Phone:

Email Address:*

Registration Details

Event:*

Please indicate if BNB can use this player's photo in the promotion of our programs.

Photo Release:*

Yes
No

Please enter any additional contact information BNB can use in case this player is involved in a medical emergency situation during the event.

Emergency Contact Information:

Please enter any medical details that the BNB coaches and/or administrators should be aware of

Medical Issues / Comments:

Save

Notes

Please complete the registration form. Once you submit the form you will receive a confirmation email from Basketball New Brunswick with addtional infomation regarding the event and payment details.