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USA-Cambodia Basketball Association



ស៊ូស៊ូ ដំណើរទៅ 2023 សមាគមកីឡាកម្ពុជាអាមេរិក
Select one:
Team
Player name *
Age as of April, 2019 *
Home Address *
Contact Phone *
5 vs 5 Sign-up form
Please fill in the form 5 vs 5 below
Free Agent
Note*
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If team selected - provide a team name and checked off if you are a team Captain.
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All team member requires to register individually
Weight (lbs) *
Height (ft, in) *
E-Mail *
Make Checks payable to: UCBA
Mail Checks to: UCBA P.O. Box 170, Westford, MA 01886
Mailing in full payment of $400/Team member or $40 Free Agent
Paypal/Credit transaction after submitted form
Thank You!
Team Captain
Are you trying out for the National Team?
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