New Team Registration Form

New Team Registration Form

June 29-30,2024 Nickel Lake Regional Park Weyburn, SK
Team Information
Date

MonthDayYear
Date
Team Name
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Pitmaster - If different from primary contact

First NameLast Name
Have you or your team competed in less than FOUR Master Series events?
Number of team members
prevnext( X )
Team Entry Fee
June 29- 30,2024

$125.00 CAD Quantity

Total

$0.00 CAD
Payment Information
E-Transfer Information

Email : sourisriversmoke@gmail.com Password : barbeque Comment: List team name
Signature
Office Use Only :

Contract Received: ____________ Type of Payment______________

Site #________________ Amount Received _________________

Invoice #________________
Should be Empty: