Keep on Rolling… IWBF Europe ENTRY FORM EUROCUP 2023 Competition dates  Champions League Preliminary Rounds:  Quarter Finals Champions League  Preliminary Rounds - EuroLeague:  Finals EuroLeague 1, 2 and 3:  Final 4 Champions League: Thursday 2nd – Sunday 5th February 2023 Thursday 9th – Sunday 12th March 2023 Thursday 9th – Sunday 12th March 2023 Thursday 27th – Sunday 30th April 2023 Thursday 4th – Sunday 7th May 2023 EuroCup Entry Form Every Club entering EuroCup must compete this form. If the Club would like to bid to host a round of EuroCup 2023 a separate form “BID DOCUMENT – HOST OF EUROCUP 2023” must be completed also. This form must be completed by a person who has authority to act on behalf of the Club Name of CLUB Click or tap here to enter Name. IWBF Europe Team Code (xxx-xx) (new club put NEW-00) Name of Club Chairperson / President Click or tap here to enter XXX-XX. Click or tap here to enter Name. NAME & CONTACT OF RESPONSIBLE PERSON Name of Club Contact Person: Click or tap here to enter Name. Mobile / Cell Phone Number: (Include international dialling code) Click or tap here to enter Phone Number. Contact possible by: WhatsApp Email Address: Click or tap here to enter Email Address. ☐ Viber ☐ Club Information Post Address of Club: Click or tap here to enter Address. Club Website: Click or tap here to enter website. Club Email: Click or tap here to enter Email Address. Club Facebook: Click or tap here to enter Facebook. Club Twitter: Click or tap here to enter Twitter. Club Instagram: Click or tap here to enter Instagram. Information  The Club entering EuroCup 2023 agree to participate according to the official ranking of EuroCup 2019 (due to Covid-19 pandemic no ranking points were awarded in EuroCup 2020, 2021 or 2022)  The Club accepts and agrees to participate in accordance with the EuroCup Competition Regulations set out in the “Manual of Regulations for the Conduct of Wheelchair Basketball Competitions in Europe” (Version: September 2019 or later if published)  In the event of cancellation of any round of EuroCup in which the Club is to participate, the Club agrees to pay an equal share of any costs for accommodation, local transport, game venue hire and food provision that are incurred but cannot be recovered by the LOC. Declaration – Authorised Person Name of Authorised Person Click or tap here to enter Name. Email Address Click or tap here to enter text Email Address. Position in Club Click or tap here to enter Position. Return form to [email protected] no later than 31st July 2022 Competitions Commission

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