Registration · Healthcare Community Cup

Register your community

Register with your PIC details only — quick and simple. Our committee will contact your PIC after screening with payment instructions.

Community information

Community Name *

Hospital / Clinic / Institution / Professional Organization / Other Healthcare Division

Each community is allowed to register multiple teams. Please use a unique team name for each entry (e.g., RS Code Blue 1, RS Code Blue 2).

Registration fee Rp 1.200.000 / team Includes 4 Celebration Night passes · payment instructions follow after screening

The PIC may be one of the players or another community representative.

PIC Name *

PIC WhatsApp *

PIC Email *

Each community sends 4 players

Player eligibility: Beginner to Lower Bronze (max).

Player names and details will be collected via WhatsApp after registration.