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2021 Dodge for Difference Team Registration
Hi there, please fill out and submit this form to register your team.
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1
Team Captain's Name
The team captain will receive emails with more event details about the Dodge for a Difference Dodgeball Tournament such as the waivers to team members to sign, prize info, important announcements and more!
First Name
Last Name
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2
Team Name
The 2021 DFD Theme is Super Heroes! Write your team name in the box below and remember we have a PRIZE for best costume.
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3
Company
(if applicable)
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4
E-mail
Team Captain's email
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5
Phone Number
Area Code
Phone Number
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6
How will you pay for your team?
There are three ways to pay. You can mail a check made out to the Cornerstone Education and Research Foundation to: 3 Superior Drive, Suite 225, Superior Colorado, 80027. The second way to pay is using a credit card. (Copy and paste this link into your browser: https://www.cornerstone.foundation/takeaction/ . Scroll to the bottom and click on the donate button.) Or you can pay cash. The amounts are: $5000 for Gold, $2500 for a Silver, or $1000 for a Bronze Level sponsorship. See our website for details on the different sponsorship levels. In the box below please type in which payment method you chose: Check, Credit, or Cash.
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7
What sponsorship level did you choose?
(Please type in sponsorship level below, Gold ($5000), Silver ($2500) or Bronze ($1000)
Gold or Silver or Bronze
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8
Who's on your team?
Please enter the emails of ALL your team players in the boxes below. (Remember teams of eight to ten with at least one female player. We have PRIZES for if you win first place, second place or best costume!)
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Please enter email
Please enter email
Please enter email
Please enter email
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9
Who's on your team (continued)?
Please enter all the emails of your team players in the boxes below. Remember teams of eight to ten with at least one female player. (We have PRIZES for if you win first place, second place or best costume!)
Please enter email
Please enter email
Please enter email
Please enter email
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