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2021 Basketball Program Application Form

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2021 Basketball Program Application Form 2021 BASKETBALL CLINIC WITH PHIL SMYTH APPLICATION FORM This clinic is an opportunity to work with one of the most outstanding players in Australian Basketball. Phil Smyth won three National Basketball League (NBL) championships with the Canberra Cannons before going on to be a three-time championship- winning head coach of the NBL's Adelaide 36ers. He was undoubtedly Australia’s best point guard. Phil represented Australia at four Olympic Games (1980, 1984, 1988 and 1992), achieving a best result of 4th at the 1988 Games in Seoul where he was the team captain. He was also a member of the Boomers at the FIBA World Championships in 1978, 1982, 1986, 1990 and 1994 with a best result of 5th place in both 1982 and 1994. He was also a national coach in 2001. If you are interested, please register your interest with the Academy. APPLICANT INFORMATION First Name: Surname: DOB: Postal Address: Suburb: State: Postcode: Council Div: Home Phone: Mobile (Parent’s contact number) : Email (Parent’s contact email): School: School Year: BASIC INFORMATION (If currently involved in competition) Home Club: Position played: No of Years Competing: Age Group: Major Achievements / Representative sides: PARENT / GUARDIAN / EMERGENCY CONTACT INFORMATION Name: Mobile: Email: Name: Mobile: Email: CONTACT / FURTHER INFORMATION For further information please contact, Programs Manager: [email protected] Or Contact Glynis Nunn 0414912345 COST: $100 for two (2) day clinic Date: 31st July- 1st August Time: 9.00 – 5.00pm Sat. 9.00 – 3.00pm Sun. The focus of the training will be on individual skill development and game play. In addition to this training there will be core educational sessions for the players to help them prepare off the court and grow on a personal level. www.goldsport.com.au Golden Opportunities Through Sport .
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