2023 Men & Boys Pinewood Derby
Location: Mauldin Campground
Registration Form
Church Name
*
Group Leader Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Number Participating
Ages 5-6
*
Ages 7-9
*
Ages 10-12
*
Ages 13-17
*
Ages 18 and Up
*
Total Amount Owed
Amount in USD
T-Shirt Sizes
Please choose the number of each size needed
Youth Small
Please Select
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Youth Medium
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Youth Large
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Adult Small
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Adult Medium
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Adult Large
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Adult X-Large
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Adult 2XL
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Adult 3XL
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Adult 4XL
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Adult 5XL
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How would you like to pay?
*
Credit Card
Check
Amount Charged
prev
next
( X )
USD
Description
Credit Card
If paying by check
Please mail checks to SC Youth Department, P.O. Box 309, Mauldin, SC 29662
Submit
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