2019 Basketball Manitoba Super Coaches Clinic Registration Form
Welcome to the Basketball Manitoba Super Coaches Clinic Registration page! Please complete this form in full and click the 'Continue' button at the bottom to proceed. If you are registering multiple people for the clinic, you will need to return to this page and register them one at a time.

*** Deadline to register for the Super Coaches Clinic is WEDNESDAY OCTOBER 23, 2019 at 4:30 pm ***
STEP 1 - Personal Information
The information you provide will be emailed to you shortly after you submit your registration. It is preferred you pay using our online method, but you may use the information sent to you as an invoice to your school or club to generate payment.

Your information will be used for Basketball Manitoba communication purposes only
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Mailing Address *
Your answer
City / Town *
Your answer
Prov / State *
Your answer
Postal / Zip Code *
Your answer
Home Phone *
Your answer
Work / Cell Phone
Your answer
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