Team Registration Form
Email Address
*
example@example.com
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Emergency Contact (Name and Number)
Company Name
Team Name
Enter the 5 remaining team member names and email addresses below. Please note: Only 6 players per team.
*
Complete Registration
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Team Registration
Dodgeball Tournament Fundraiser Team Sign Up
$
120.00
Donate
Every $10 donated provides a child with the Songwriting App for an entire year.
$
10.00
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Processing Fee
Processing Fee
$
2.99
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: