PANATHINAIKOS A.C. STADIUM
(Apostolos Nikolaidis)
Alexandras Avn. 160
Athens, Greece
June 23-24-25,2006
PLAYER'S FORM
Full Name:_______________________________________________________
Date of Birth:_____________ Place of Birth:_____________________________
Height: ___________Weight:__________Position:________________________
Nationality:_________________ Other Nationality (if any)___________________
2005-2006 Team: ____________________Team Nation:___________________
Team Division:_________________ Team Website:_______________________
Agent's Name (if any) ____________________Phone Number:_________________
Player's e-mail: _________________________Phone Number:_________________
Career:___________________________________________________________
___________________________________________________________
Technical Profile:__________________________________________________
___________________________________________________
Form must be printed using capital letters. Mail this Form together with a $400 M.O.
(in USA Funds) to: Romeo De Risio-P.O. Box 667472-Pompano Beach, Florida 33066 (USA).
FEE IS NOT REFUNDABLE.
To all Players:
By filing this Player's Form, you agree that Teta Stefanou and PANATHINAIKOS A.C. STADIUM
will not be liable for any personal injury that might occur to you while you are playing and
stay at the Gym facility during the entire Camp on June 23,24,25-2006.
X__________________________________________________
Please sign this Player's Form.
It will be void without your Signature.