Dodgeball Team Registration

Team Registration

Before filling in the form below, please make sure you have the names and birthdays of your teammates. Once you click the register button, you will be prompted to pay the $120 registration fee. Please ensure all team members complete a liability waiver.

Team Name

Team Captain

First Name

Last Name

Phone

(###)

###

####

Birthdate

YYYY

Instagram

TEAM MEMBER 2

Name

First Name

Last Name

Birthdate

YYYY

Instagram

TEAM MEMBER 3

Name

First Name

Last Name

Birthdate

YYYY

Instagram

TEAM MEMBER 4

Name

First Name

Last Name

Birthdate

YYYY

Instagram

TEAM MEMBER 5

Name

First Name

Last Name

Birthdate

YYYY

Instagram

TEAM MEMBER 6

Name

First Name

Last Name

Birthdate

YYYY

Instagram

TEAM MEMBER 7

Name

First Name

Last Name

Birthdate

YYYY

Instagram

TEAM MEMBER 8

Name

First Name

Last Name

Birthdate

YYYY

Instagram

TEAM EMERGENCY CONTACT

PLEASE CHOOSE A CONTACT FOR THE ENTIRE TEAM

Emergency Contact Name

First Name

Last Name

Relation

Phone

(###)

###

####

Team Registration

Location

Contact