Junior Program

Why become a Vipers Junior Member?

You must be a Vipers Basketball Junior Member to access our services. Join to unlock coaching, skills development, and priority access to programs.

Saturday Skills
Weekly fundamentals & drills
HPP Sessions
High Performance Program
Holiday Camps
School break intensives
Waiting Lists
Priority notifications
2026 Membership Open Now

$60

One simple annual fee.

  • Access to Saturday Skills, HPP, Camps & Waiting Lists
  • Member updates & priority program invites
  • Secure online payment
Complete the Form Visa & Mastercard accepted

You can join by completing this form.

Vipers Junior Membership Form 2026

Drop your existing form here, or paste the Bootstrap form we built earlier.

Player Details

Please enter first name.
Please enter last name.
Please select a date of birth.
Please select gender.
Please select uniform size.
Please enter an address.
Please enter a suburb/city.
Please select a state.
Enter a 4-digit postcode.
Please enter a valid email.
Please enter a phone number.

Parent / Guardian (if under 18)

Please enter parent/guardian name.
Please enter parent/guardian phone.
Please enter parent/guardian email.
Please specify relationship.

Emergency Contact

Please enter a name.
Please enter a phone number.

Medical Information

Please specify allergies or enter 'None'.
Please provide medical notes or enter 'None'.

Membership

Please select a season.
Please select a membership type.
Please select a division.
Please select experience level.

Consents & Declarations

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Please provide any additional notes or enter 'None'.