The Official Site of the Detroit Panthers | 2007 Panthers Fall Free Agent Camp

2007 Panthers Fall Free Agent Camp

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SIGNUP ONLINE

* Try out dates are Mondays, Wednesdays, & Fridays - 7 pm until 9 pm, now through September 28, 2007.

* Location of camp:
Detroit Southwestern High School
6921 W. Fort Street, Detroit, Michigan 48209
MapQuest

* Once your form has been completed, please email or fax to
our office: 248-920-0482.

* Someone will contact you for final registration and instructions.

Detroit Panthers Basketball, Inc.
199 W. Brown Street, Suite 110
Birmingham,MI 48009
Office: 248-645-2278
Fax: 248-920-0482
email

Name:
Date of Birth:
Mailing Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email Address:

Emergency Contact Name:
Phone #:

Permanent Address:
City:
State:
Zip:

Height:
Weight:
Position:
Jersey Size:
Shoe Size:

High Schools Attended (include years):

Colleges Attended (include years):

College Accomplishments:

Pro Experience (if any):

Are you allergic to any medication? (If so, please explain):

Agent's Name (if any):
Phone #: