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JR NBA - Registration Form 2023
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You should not enter any sensitive information on this page such as health data, passwords or social security numbers. If you are being asked or need to provide this information for your registration please contact Prince Albert Community Basketball Association directly.
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JR NBA - Registration Form 2023
Ages: 4-Grade 2. Dates: Every Sunday 3-4pm from October 15 to December 17 (10 weeks)
Alfred Jenkins Fieldhouse Gym
$140 – Includes JR
NBA
basketball and
NBA
reversible jersey
Participants Name
Date of Birth
Health Card Number
I agree to use of photos on P.A.C.B.A. platforms
Parent/Guardians
Mailing Address
Email Address:
Phone Number:
Are you willing to coach, assist, or help out with the JR
NBA
program?
Yes
No
or
cancel