Event Registration Form
Team Name
*
Team Captain
*
First Name
Middle Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Participants
Participant 1
First Name
Last Name
Participant 4
First Name
Last Name
Participant 2
First Name
Last Name
Participant 5
First Name
Last Name
Participant 3
First Name
Last Name
Participant 6
First Name
Last Name
Event Fees & Shirts
*
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( X )
Team Shirts (Pick Up)
$
10.00
T-Shirt
Quantity
XS
S
M
L
XL
XXL
XXXL
Item subtotal:
$
0.00
Team Shirts (Shipping)
$
25.00
T-Shirt
Quantity
XS
S
M
L
XL
XXL
XXXL
Item subtotal:
$
0.00
Team Registration
Team registration fee.
$
50.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: