Flash into Seattle REGISTRATION FORM Main Contact
Flash into Seattle REGISTRATION FORM
Main Contact Information:
Date______________
Name:___________________________________________________ I Prefer to be called: __________________________ Address:____________________________________________City:_______________State:_________Zip_______________ Phone (______)_________________ Work Phone (_____) ________________ Cell Phone (______)____________________ Email: ________________________________ Date of Birth:_______________ Adult T-‐Shirt Size: XXLarge XLarge Large Medium Small Extra Small Your Favorite Red Flash Player: ______________________ Emergency Contact:______________________________ Phone Number:___________________ Alt Phone:____________ Any Food Allergies:______________________________
Other Party
Relationship to Main Contact: Spouse Child Other: _______________ Name:_____________________________________________________ Address:______________________________________________________________________________________________ City:_________________________________ State:__________ Zip:_____________ Phone: (____)_____________________ Email: ________________________________ Date of Birth:_______________ Adult T-‐Shirt Size: XXLarge XLarge Large Medium Small Extra Small Your Favorite Red Flash Player: ______________________ Any Food Allergies:______________________________
Payment Options: One Person: $225 Two People: $400 More than two people: Call For Pricing Coach Reshard 814-‐327-‐0487 I will have my own transportation for one person: $150 We will have our own transportation for two people: $300
Payment: **All Payments due with Registration** Total Payment Enclosed _________________ Check Enclosed: Make checks payable to Saint Francis Women’s Basketball Mail Registration to: Saint Francis University Women’s Basketball c/o Jordan Zuppe Maurice Stokes Center PO Box 600 Loretto, PA 15940
Main Contact Information:
Date______________
Name:___________________________________________________ I Prefer to be called: __________________________ Address:____________________________________________City:_______________State:_________Zip_______________ Phone (______)_________________ Work Phone (_____) ________________ Cell Phone (______)____________________ Email: ________________________________ Date of Birth:_______________ Adult T-‐Shirt Size: XXLarge XLarge Large Medium Small Extra Small Your Favorite Red Flash Player: ______________________ Emergency Contact:______________________________ Phone Number:___________________ Alt Phone:____________ Any Food Allergies:______________________________
Other Party
Relationship to Main Contact: Spouse Child Other: _______________ Name:_____________________________________________________ Address:______________________________________________________________________________________________ City:_________________________________ State:__________ Zip:_____________ Phone: (____)_____________________ Email: ________________________________ Date of Birth:_______________ Adult T-‐Shirt Size: XXLarge XLarge Large Medium Small Extra Small Your Favorite Red Flash Player: ______________________ Any Food Allergies:______________________________
Payment Options: One Person: $225 Two People: $400 More than two people: Call For Pricing Coach Reshard 814-‐327-‐0487 I will have my own transportation for one person: $150 We will have our own transportation for two people: $300
Payment: **All Payments due with Registration** Total Payment Enclosed _________________ Check Enclosed: Make checks payable to Saint Francis Women’s Basketball Mail Registration to: Saint Francis University Women’s Basketball c/o Jordan Zuppe Maurice Stokes Center PO Box 600 Loretto, PA 15940
