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PLAYER REGISTRATION FORM
NAME:_______________________________ LAST NAME:__________________________________________
ADDRESS:__________________________________________________________________________________
CITY:__________________________STATE:________________________ZIP CODE:____________________
DATE OF BIRTH:_______________PLACE OF BIRTH:______________________STATE:________________
HEIGHT:__________WEIGHT:__________POSITION:______________JERSEY SIZE: ___________________
NATIONALITY:____________________OTHER NATIONALITY(if any)_______________________________
CLOSE AIRPORT TO YOU: NAME-_____________________________________CITY:_________________
2009-2010 TEAM:_______________________________TEAM NATION:_______________________________
2009-2010 STATS: PPG________ASSISTS:_________REBOUNDS:_______________(avg. per game)
TEAM WEBSITE:_____________________________________________________________________________
E-MAIL ADDRESS:___________________________________________________________________________
PHONE NUMBER (home)_____________________________CELLULAR:______________________________
AGENT’S NAME (if any)_______________________________________________________________________
PHONE NUMBER:___________________________________________________________________________
TOGETHER WITH A REGISTRATION
FORM, YOU MUST INCLUDE A MONEY ORDER (no personal checks) PAYABLE TO: 243 W.WASHINGTON AVENUE, CLIFTON HEIGHTS, PA 19018 (USA)
FEE IN NOT REFUNDABLE. By filing this Player Registration Form you agree that Sundreez Basketball and The Tarkanian Basketball Academy, will not be liable for any personal injury that might occur to you while you are playing and staying at the Gym facility during the entire Eurocamp Summer League on July 12-13-14,2010.
X______________________________ Please sign the Player Registration Form
It will be void without your signature.
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