Tournament Registration

Tournament Registration Form

Please use the form below to register and make payment per team by mail or credit card

Multiple Teams: If entering 3 or more teams  into a 3+ game format tournament, you may take a $25 per team discount.

 Use Misc payment option at bottom of payment page...

Renegades Basketball - 858 Street Rd. - Southampton, PA 18966     

Team Name
Click to Select Tournament
Basketball Team: Girls   Boys
Street Address
Address 2
Zip Code
Coach Name
Cell Phone
Home Phone
Work Phone
Contact Name
Cell Phone
Home Phone
Work Phone
Schedule Request
Number of players on team that require medals
Name & Address that medals should be sent to in case your team is a pool winner


National A B C

Age Group


School Grade


Are you staying overnight on these nights? (Please check)   Friday Night  Saturday Night

How many hours to gym if commuting? 
I, as coach of my team certify that all players have personal primary health insurance and
have medical & liability insurance coverage with our School, Township, CYO, AAU or club organization.  

Signature of Head Coach
Copyright 2009 [Renegades Basketball]. All rights reserved.
Revised: 05/23/19