
Please use the form below to register and make payment per team by mail or credit card to:
Renegades Basketball - 858 Street Rd. - Southampton, PA 18966
Pay by credit
card by clicking here!

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Team Name Click to Select Tournament Basketball Team: Girls Boys Street Address Address 2 City State Zip Code Coach Name Cell Phone Home Phone Work Phone Fax# Contact Name Cell Phone Home Phone Work Phone Schedule Request
Level:
National A B C
Age Group
School Grade
Are you staying overnight on these nights? (Please check) Friday Night Saturday Night
How many hours to gym if commuting?