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PAN Basketball Championship January 2024
PANSA Will be taking photos/videos throughout the event for promotional usage. By signing up you confirm you are aware of this and agree to your image potentially being publicly visible.
1.
Team Name
2.
Participant Details
Player 1 Name
Gender
Age on 01/01/2024
Medical Condition/Disability (If Any)
Player 2 Name
Gender
Age on 01/01/2024
Medical Condition/Disability (If Any)
Player 3 Name
Age on 01/01/2024
Medical Condition/Disability (If Any)
Player 4 Name
Gender
Age on 01/01/2024
Medical Condition/Disability (If Any)
Player 5 Name
Gender
Age on 01/01/2024
Medical Condition/Disability (If Any)
Player 6 Name
Gender
Age on 01/01/2024
Medical Condition/Disability (If Any)
Player 7 Name
Gender
Age on 01/01/2024
Medical Condition/Disability (If Any)
Player 8 Name
Gender
Age on 01/01/2024
Medical Condition/Disability (If Any)
Player 9 Name
Gender
Age on 01/01/2024
Medical Condition/Disability (If Any)
Player 10 Name
Gender
Age on 01/01/2024
Medical Condition/Disability (If Any)
3.
Age Groups (All entries must be submitted by January 15th 2023)
Boys & Girls U15s (Free)
Boys & Girls U18s ($400 entry fee)
Men's & Womens Open ($400 entry fee)
4.
Primary Contact
Name
Email Address
Phone Number
