NSABA U17 BASKETBAL CHAMPIONSHIP 2022

2022年度芙蓉县 U17 （男女）篮球锦标赛

Name Of Team ：
Captain :
Address :
Tel : Email :
Jersey colour : Dark : Light :

Photo Photo Photo Photo

MANAGER COACH ASSISTANT COACH REFEREE

Name: Name: Name: Name:

Tel: Tel: Tel: Tel:

Photo Photo Photo Photo

Designation: statistician Designation: Designation: Designation:

Name: Name: Name: Name:

Tel: Tel: Tel: Tel:

Signature of President / Secretary

Name : Association Chop

Date :

PLAYERS
 Photo Photo Photo Photo

Name: Name: Name: Name:

I/C No I/C No I/C No I/C No

Height (CM)： Height (CM)： Height (CM)： Height (CM)：

Photo Photo Photo Photo

Name: Name: Name: Name:

I/C No I/C No I/C No I/C No

Height (CM)： Height (CM)： Height (CM)： Height (CM)：

Photo Photo Photo

Name: Name: Name: Name:

I/C No I/C No I/C No I/C No

Height (CM)： Height (CM)： Height (CM)： Height (CM)：

I hereby comfirm that all information given is true and complete, I understand that NSABA reserves its right to accept or
reject this participating team without the need to assign any reasons thereof.
Closing Date报名截止日期：24 June 2022 ( Friday ) 2.00pm

Date 日期： Signature of Team Manager or Coach 领队或教练签名