Syracuse Select Basketball Club presents

Mid-Atlantic Championship Registration

May 2-3, 2020 Manheim, Pennsylvania

To register for the Mid-Atlantic Championship complete the form below.

Division

Team

Team Name

Season

- i.e. 2020, 2020-2021 Spring

Gender

City

State/Region

Postal Code

Website

Twitter Handle

Instagram Handle

Facebook Page

https://facebook.com/

Logo

Comments

Scheduling Requests

Restriction

Teams

No teams available.

Date/Time

- on

A blank start time represents start of day.
A blank end time represents end of day.
A blank date represents all days.
Schedule from start time and everything below end time, not including end time

Venue Court

No event venues available.

Total Games

- Leave blank for all games.

Date

Leave blank for all days.

Total Games

Date

Leave blank for all days.

Primary Contact

Organization

First Name

Last Name

Mobile Phone

@ Mobile carrier can be used to receive game notifications during an event.

Home Phone

Street Address

Extended Address

City

State / Region

Postal Code

Roster

This event offers a roster between 6 and 14 active players.

Active

First Name

Last Name

Birthdate

i.e. 1/1/2000

Mobile Phone

Home Phone

Street Address

Extended Address

City

State / Region

Postal Code

Profile

Number

Position

i.e. Guard

Height

i.e. 6-4

Weight

Travel Team

Social

Website

Twitter Handle

Instagram Handle

Facebook Page

https://facebook.com/

Academics

School

Grade

Class

i.e. 2021

ACT Score

SAT Score

G.P.A.

Payment

Note: There's an additional 3.5% convenience fee.

Discount Code

Discount is applied when payment is made, and may require payment information.

Billing info and address same as primary contact?

Billing Contact

Organization

First Name

Last Name

Phone

Billing Address

Street Address

Extended Address

City

State / Region

Postal Code

Credit Card

All event related questions should be directed to Patrick "Shawn" Pudney at spudney@verizon.net or call 315-224-1401.

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