Midnight Basketball New Community Application Form

Community name

State Select... NSW QLD SA TAS VIC WA

Is there an indoor stadium with 2 courts or more? Select... Yes No If no, call MBAustralia to discuss if you have a valid reason and/or would like to talk through.

Indoor area for dinner Select... Yes No

Indoor areas for skills sessions (including on-court sessions) Select... Yes No

Local Basketball Association name

Name(s) of all local stadium(s)
Identify if you have one of them in mind if more than one.

Population size. See here

First name

Last name

Job title

Organisation

Phone

Email

Are you enquiring on behalf of the above organisation? Select... Yes No

If yes, what does the organisation do? (if no, who are you enquiring on behalf of?)

How did you hear / find out about Midnight Basketball?

Have you spoken to anyone in your community about starting Midnight Basketball in your community? Select... Yes No

If yes, who and what have these initial discussions involved. (if no, who else do you think you will involve?)

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