Dodgeball Team Registration Form

Team Registration for Dodgeball Tournament (ALL PLAYERS MUST BE 18 or OLDER!)

Please complete the form to register your team for the Crown Point Firefighters Association dodgeball tournament benefitting Northwest Indiana Cancer Kids Foundation. Please collect and submit the individual email addresses so we can email the waivers to the players.
REGISTRATIONS ARE DUE SEPTEMBER 14th, 2024!
- EVENT LOCATION: SPARTA DOME 1355 E NORTH STREET, CROWN POINT INDIANA 46307.
- DATE/TIME SEPTEMBER 21ST, 2024 3PM REGISTRATION, GAMES BEGIN AT 4PM.
- COST $200 PER TEAM
Team Name/Department*
Team Captain (Player 1)*

First NameLast Name
Email (Player 1)*
example@example.com
Phone Number (Player 1)*
Team Member 2*

First NameLast Name
Email (Player 2)*
example@example.com
Team Member 3*

First NameLast Name
Email (Player 3)*
example@example.com
Team Member 4*

First NameLast Name
Email (Player 4)*
example@example.com
Team Member 5*

First NameLast Name
Email (Player 5)*
example@example.com
Team Member 6*

First NameLast Name
Email (Player 6)*
example@example.com
Team Member 7*

First NameLast Name
Email (Player 7)*
example@example.com
Team Member 8*

First NameLast Name
Email*
example@example.com
Alternate #1

First NameLast Name
Email
example@example.com
Alternate #2

First NameLast Name
Email
example@example.com
Alternate #3

First NameLast Name
Email
example@example.com
PAYING BY CHECK? (MAKE CHECK OUT TO CROWN POINT FIREFIGHTERS ASSOCIATION) IF YES SELECT YES AND CLICK NOTHING OTHER THAN SUBMIT*
IF PAYING BY CHECK, YOUR REGISTRATION IS NOT VALID UNTIL RECIEVED.
PAYING BY CREDIT/DEBIT CLICK HERE! And Click Payment methods below.
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Dodgeball Registration (CLICK HERE ONLY IF PAYING BY DEBIT/CREDIT/PAYPAL)
$200.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Card Expiration

Security Code

Please click one of the PayPal options to complete payment and submit the form.

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Team Registration for Dodgeball Tournament (ALL PLAYERS MUST BE 18 or OLDER!)