Provincial Black Basketball Association (PBBA)
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Skills Clinic


Youth Skills Clinic 2012 Saturday May 12th
Cost is $10.00 per person
for ages 8 to 12 years of age
Registration is required by April 27th, 2012

Send completed registration forms to:

Provincial Black Basketball Association
Youth Skills Clinic 2012
P.O.Box 2702
Halifax C.R.O.
B3J 3P7




Participants name:       M____   F____


Name:__________________________________________________



Mailing Address:

Street Address:__________________________________________

City:__________________________________________________


Postal Code:____________________________________________




Date of Birth :  M______ D________Y___________


Parent/Guardian__________________________________________

Tel. H___________________W_______________C______________


E-mail__________________________________________________


T-Shirt will be provided by the PBBA


Pleas complete this section if played on a Basketball Team/League previously this past season:

Club/Team Name:_________________________________________

Age Division:_____________________________________________

Coach:_____________________Phone:________________________


                                 www.blackbasketball.ca

Created by: Chris Downey -- Last updated:Mar 28, 2012