PLAY21 BASKETBALL TOURNAMENT REGISTRATION – JULY 13TH-14TH

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PLAY21 BASKETBALL TOURNAMENT REGISTRATION - JULY 13TH-14TH

FEATURING THE GLOBALLY RENOWNED BASKETBALL GAME OF 21 BOYS AGE GROUPS: 12-14 & 15-17 / ADULTS: 19+

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AGE GROUP

PLAYER INFORMATION

First

Last

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DATE OF BIRTH

PHONE NUMBER

GENDER

EMAIL ADDRESS

ADDRESS

Address Line 1

Address Line 2

City

State

Zip Code

TEAM INFORMATION

Team Name

Coach / Team Captain Name

First

Last

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Coach / Team Captain Phone Number

Player Skill Level

SUBSTITUTE PLAYER INFORMATION

Sub's Name

First

Last

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Sub's Date Of Birth

Sub's Phone Number

Sub's Gender

Sub's Email Address

MEDICAL INFORMATION

Does the player have any injuries or medical issues?

If yes, please specify:

Does the sub player have any injuries or medical issues?

If yes, please specify:

PHYSICAL CHARACTERISTICS

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Player's Basketball Jersey Size

Player's Height

Sub's Basketball Jersey Size

Sub's Height

Player's Basketball Shorts Size

Player's Weight

Sub's Basketball Shorts Size

Sub's Weight

PLAYER'S SIGNATURE

I certify that the information provided above is accurate, and I agree to abide by the rules and regulations of the Basketball Game of 21 tournament.

Player's Digital Signature Of Agreement

SUB'S SIGNATURE

As a Sub Player, I certify that the information provided above is accurate, and I also agree to abide by the rules and regulations of the Basketball Game of 21 tournament.

Sub Player's Digital Signature Of Agreement

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