Registration · Healthcare Community Cup

Register your community

Each community enters two teams: Men's Doubles & Mixed Doubles (4 players in total). 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

Community PIC

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

PIC Name *

PIC WhatsApp *

PIC Email *

Register your community

Community information

Community PIC

Men's Doubles · Lower Bronze

Mixed Doubles · Lower Bronze