WADA Team Application

Page updated: 05/11/2012 12:00 PM
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Do NOT press Enter until you have completed the entire form.

Tab or Mouse Click to move between fields.   (* is a required field)

1. Desired Region of Play: * 

2. Desired Night:   *               *

3. Team Level (1st choice): *      (2nd choice):* 

4. SPONSOR information:

      SELECT your Sponsor ==>>>>>  *  

      Send Sponsor invoice to the Attention of:  

      Sponsor information below is only required for NEW sponsors or to UPDATE information for current sponsors:
email web URL
Address City
State Zip
Phone    

5. TEAM Name (do NOT include the Sponsor name here) * 

6. CAPTAIN  Information:   (Team member #1)

Captain's Name*  email*
Address City
State Zip
Home Phone Work Phone

Cell Phone*

 

 

7.  TEAM Members  (Captain is team member #1)

Member 2 *   
Member 3 *     
Member 4 *     
Member 5
Member 6
Member 7
Member 8

8. Comments: