Captain and Co-Captain Form

Registration for teams, Section 1 and 2 must be filled out.

SECTION 1 - Select the following division:
SECTION 1 - Select the following division
- Non-Profit (Registration fee $600)
- Community (Registration fee $1,000)
- Corporation (Registration fee $2,000)
Choose
SECTION 2 - CONTACT INFORMATION:
Team Details:
Name*
FirstLast
Name of Non-Profit / Community / Corporation*
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Phone*
Email*
Team Manager:
Name
FirstLast
Phone
Email
Team Captain
Name
FirstLast
Phone
Email
Team Co-Captain
Name
FirstLast
Phone
Email

SECTION 1 - Select the following division: