Dodgebrawl Registration Form...
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Dodgebrawl Registration June 27, 2015, 11am at the Pensacola Bay Center Register your team for Dodgebrawl 2015 by June 10 th at 4pm to guarantee entry, tshirt & goodie bag Late Registration Deadline: June 25 at 4pm; Subject to Availability Team Registration Fee is $21/person (610 people per team). Prizes awarded for best uniforms, best team name and top three winning teams. Team Name______________________________________________________________________________ Captain Name + Contact Info___________________________________Email:_____________________________________ Street Address___________________________________________________________________________ Address Line 2___________________________________________________________________________ City________________________________________________________________________________________ State_______________________________________________________________________________________ Postal/Zip Code__________________________________________________________________________ Player Names (At least 6): Gender: Age: Shirt Size (SXXL): Email Address: 1. ______________________________________________________________________________________________________ 2. ______________________________________________________________________________________________________ 3. ______________________________________________________________________________________________________ 4. ______________________________________________________________________________________________________ 5. ______________________________________________________________________________________________________ 6. ______________________________________________________________________________________________________ 7. ______________________________________________________________________________________________________ 8. ______________________________________________________________________________________________________ 9. ______________________________________________________________________________________________________ 10. ______________________________________________________________________________________________________ Elected Nonprofit Organization and Tax ID #__________________________________________________________ Nonprofit Organization Contact Name__________________________________________________________________ Nonprofit Organization Phone # and Email Address__________________________________________________ Payment Method (Circle one): Cash Credit Card SUBMIT THIS FORM TO [email protected]
Transcript of Dodgebrawl Registration Form...
Dodgebrawl Registration June 27, 2015, 11am at the Pensacola Bay Center
Register your team for Dodgebrawl 2015 by June 10th at 4pm to guarantee entry, t-‐shirt & goodie bag
Late Registration Deadline: June 25 at 4pm; Subject to Availability
Team Registration Fee is $21/person (6-‐10 people per team). Prizes awarded for best uniforms, best team name and top three winning teams. Team Name______________________________________________________________________________ Captain Name + Contact Info___________________________________Email:_____________________________________
Street Address___________________________________________________________________________ Address Line 2___________________________________________________________________________ City________________________________________________________________________________________ State_______________________________________________________________________________________ Postal/Zip Code__________________________________________________________________________
Player Names (At least 6): Gender: Age: Shirt Size (S-‐XXL): Email Address:
1. ______________________________________________________________________________________________________
2. ______________________________________________________________________________________________________
3. ______________________________________________________________________________________________________
4. ______________________________________________________________________________________________________
5. ______________________________________________________________________________________________________
6. ______________________________________________________________________________________________________
7. ______________________________________________________________________________________________________
8. ______________________________________________________________________________________________________
9. ______________________________________________________________________________________________________
10. ______________________________________________________________________________________________________ Elected Nonprofit Organization and Tax ID #__________________________________________________________ Nonprofit Organization Contact Name__________________________________________________________________ Nonprofit Organization Phone # and Email Address__________________________________________________ Payment Method (Circle one): Cash Credit Card
SUBMIT THIS FORM TO [email protected]
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