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Nike Girl's Basketball Championships Registration
 
--- February 18th & 19th, 2012 @ The Salem Hoop ---
Call (503.512.9197) or Email (contact@hoopsourcebasketball.com) with Questions!
READ BEFORE SUBMITTING

THIS FORM NEEDS TO BE COMPLETED FOR EACH TEAM THAT IS REGISTERING.

$200 Per Tournament - 4 Game Minimum

This form will reserve your spot in the selected event below.  You will be directed to online payment after submitting this registration form.
Tournament(s): *
Team Name: *
Male or Female: *
Team Division: *
Preferred Competition Level: *
Team Contact Name: *
Address Street 1: *
Address Street 2:
City: *
State: *
Zip Code: * (5 digits)
Phone Number: *
Team Contact Email: *
Enter comments here:

Disclaimer: Registration is a Binding Contract & Verifies your Submission to our League/Tournament.

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