Dodgebrawl Registration SUBMIT THIS FORM TO ... AWS
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 $20/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____________________________________________________________________________ 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]
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 $20/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____________________________________________________________________________ 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]
