Name : 

 

Date of Birth : 

                  

Place of Birth :

 

Male/female : 

 

Occupation :

 

Classification : 

 

Favorite Position On Court :

                                              

 

Vest Number : 

 

When did you get involved with       wheelchair basketball?   

 

Have you played with any clubs other than the CELTS?   

 

Why do you enjoy being involved with wheelchair basketball?   

 

Playing History/Basketball Achievements :   

  

Most memorable basketball moment (so far) :  

  

Other hobbies :    

  

Personal Goals (basketball related) :