If you are human, leave this field blank.Surrey Rams C.V.L Development Registration/Payment Form 2020/21 Dear Rams Parents and men’s players, welcome to the online Surrey Rams CVL Development Registration/Payment Form 2020-21. This online form is a lot simpler and and quicker to complete. All forms will be sent to the Rams online Registration database. Can parents and Men’s players ensure they have read the Rams CVL 2020-21 literature before completing this registration form. If parents or Men’s players have any questions please feel free to email the Rams Admin team: admin@surreyrams.com SEASON COST DETAILS We are very pleased to welcome you to the Surrey Rams Basketball Development Club for the 2020–2021 Season. The costs for this season will be as follows: - Rams Joining Fee:£10.00 this also covers player's England basketball registration and provides liability insurance. (Please note this is excluding the season fees) - 1 star package:£220.00 (This does not include joining fee) for practice session between weeks beginning 7th September 2020 until 29th March 2021 excluding all school holidays. 2 star package:£240.00 (This does not include joining fee) for practice sessions and entry to all End of Month Tournaments. 3 star package:£265.00 (This does not include joining fee) for practice sessions, and entry to all Surrey CVL games (This also includes Surrey Basketball Association membership and registration). - 4 star package:£280.00 (This does not include joining fee) for 28 weeks of practice, and membership and registration entry to all Surrey CVL games and End of Month Tournaments. Please note that this does not include Bracknell CVL and Surrey CVL Match fees. *Plus package: £150.00 The "Plus package" is an additional package which will entitle (selected) CVL players to the 2nd and 3rd Rams practice which is usually on either Tuesday, Wednesday or Thursdays with the National League players. (Please see CVL literature form for further details) This package is mainly for CVL players who a aspire to play N.L. The "Plus package" is in addition to each “star package” *AS WE ARE MAKING A COMMITMENT TO COACHES AND FACILITIES THE ABOVE FEES ARE NON REFUNDABLE Payment options starting in September. Option 1: Full Payment option - due @ first practice session 7th Sept 2020 Option 2: Two payment installment plan - due 7th Sept, and 2nd payment due 2nd Nov 2020 1st instalment due = £100.00 2nd instalment due = Outstanding balance of package selected Option 3 (ONLY APPLICABLE TO 3, 4, OR PLUS PACKAGE PLAYERS: Three payment installment plan - due 7th Sept, 2nd Nov, 4Jan 2021 1st instalment = £100.00 2nd instalment = 50% of outstanding balance 3rd instalment = outstanding balance due *AS WE ARE MAKING A COMMITMENT TO OUR RAMS COACHES AND FACILITIES HIRERS, CAN PARENTS PLEASE NOTE THAT THE CLUB MEMBERSHP PAYMENTS ARE NON-REFUNDABLE.Please select which age group player will be enrolled in this season (2020-21)Use the drop down menu to select age group.U10 CVLU12 CVLU14 CVLU16 CVLU18 CVLPlease select the package you would like to enroll player on:** BE joining fee and player liability (Required for all players participating at Rams club) : £10.001 Star Package: £210.002 Star Package £240.00 (Currrently unavailable due to Covid-19)3 Star Package £265.004 Star Package £280.00 (Currrently unavailable due to Covid-19)**PLUS Package: £150.00Please note that Joining fee and Plus package fee are not including with each Star Packages. Please remember to add the joining and Plus package fee to your final season fee if applicable.(Please consult with Coach Popoola if you do also require the plus package as 2nd sessions are invitation only.)Please select the package you would like to enroll player on:Please note that Joining fee and Plus package fee are NOT included Packages. Please remember to add these cost to your final season fee. (Please consult with Coach Popoola if you do also require the plus package as 2nd sessions are invitation only.)Option 1) Full instalment payment - due 7th SeptemberOption 2) 2 instalment payment plan - due 7th September and 2nd NovemberOption 3) 3 instalment payment - due 7th September, 2nd November and 4th January 2020Please select method of paymentCredit or Debit Card Payment (please note that 2% handling charge is added to all card payments)CashCheque Payment (please make all cheque payment payable to "HOOP DREAMS LONDON"PLAYER DETAILS:Please enter player's first namePlease enter player's last namePlease enter player's addressApt, suite, etc.CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityZip codePlease enter player's D.O.B(please use the following format i.e - 01/01/2001)EthnicityWhilst it is not compulsory that the following section is completed the footnote at the end of this template explains why it is important.White - BritishWhite - IrishWhite - other Mixed - White & Black CaribbeanMixed - White & AsianMixed - White & Black Africanother mixed backgroundAsian or Asian British - IndianAsian or Asian British - PakistaniAsian or Asian British - Bangladeshiother Asian backgroundBlack or Black British - CaribbeanBlack or Black British - AfricanBlack or Black British - other black backgroundChinese or other ethnic group - ChineseChinese or other ethnic group - other ethnic group not listedother - not listedMedical informationPlease detail below any important medical information that our coaches/ Junior Coordinator should be aware of (e.g. epilepsy, asthma, diabetes etc.)Does the player consider himself to have a disability?The Disability Discrimination Act 1995 defines a disabled person as anyone with ‘a physical or mental impairment, which has a substantial long-term adverse effect on his or her ability to carry out normal day-to-day activities’.YesNoEMERGENCY CONTACT DETAILS:Please enter parent/gaurdian mobile numberRams Men's players please enter next of kin in case of emergencyPlease enter parent/gaurdians home telephone number.Rams Men's players please enter next of kin in case of emergencyInstructions* Neither the mobile number nor the email should be that of the player– this could make children vulnerable and is considered poor practice. For a child/young person under the age of 16, the details should be those of the parent/carer. Emergency Contact details - Please enter full name.To be completed by the parent/carer Please enter the information below to indicate the person(s) who should be contacted in event of an incident/accident. Please enter emergency contact numberPlease enter player's parent/gaurdian full namefor example: John SmithPlease email parent/gaurdian email addressPlease select which statement is applicable to parent's/career declarationI agree to my son/daughter in my care taking part in the activities of the clubI DO NOT agree to my son/daughter in my care taking part in the activities of the clubSurrey Rams Promo and particapation declarationBy submitting this completed form, I agree to my son/daughter/child in my care taking part in the activities of the Surrey Rams club. Additionally by completing this form, I agree to adhere to the code of conduct for parents/carers and my child shall adhere to the code of conduct for junior members. I understand that I will be kept informed of these activities – for example timing and transport details. I understand in the event of injury or illness all reasonable steps will be taken to contact me, and to deal with that injury/illness appropriately. To comply with the Data Protection Act 1998, we need your permission before taking any images of your child for future advertising and promotion purposes. If you do not wish your child’s photograph to taken or used in any promotional material please tick this boxPlease select one of the following regarding promo declarationI DO give consent for my child's picture/video to be taken and used for Surrey Rams promotional purposes on websites, social media, flyers, ect.I DO NOT give consent for my child's picture/video to be taken and used for Surrey Rams promotional purposes on websites, social media, flyers, ect.Submit