Home / Bruins 2024 Rep Prep Hoop Summit

Bruins 2024 Rep Prep Hoop Summit

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Parent/Guardian Phone Number(Required)

Participant Name (First Child)(Required)

First Last

Date of Birth (First Child)(Required)

DD/MM/YYYY

Bruins 2024 Rep Prep Hoop Summit (First Child)(Required)

IF YOU WERE A 2024 BRUINS REP PLAYER, PLEASE CHOOSE BRUINS NATION DISCOUNT

Date of Birth (Second Child)

DD/MM/YYYY

Participant Name (Second Child)

First Last

Bruins 2024 Rep Prep Hoop Summit (Second Child)

Participant Name (Third Child)

DD/MM/YYYY

Date of Birth (Third Child)

First Last

Bruins 2024 Rep Prep Hoop Summit (Third Child)

Which Rep Team did you play in for 2024?(Required)

Participants Medical Issues

Credit Card Name(Required)

First Last

Credit Card Number(Required)

Expiry Date(Required)

Active Kids Voucher(if wanting to use the $50 Active Kids Voucher towards this program, please email voucher to nicole@bruinsbasketball.com.au)