Contact Name *

First Name

Last Name

Contact Phone

(###)

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Team Captain's (1) Name *

First Name

Last Name

Team Member (2) Name *

First Name

Last Name

Select All That Apply

If you are registering as a team and logo sponsorship, please select "Registration & Logo Sponsorship Combo" at checkout.

Register a Team ONLY

Register a Team & Logo Sponsorship

Register a Team as part of a Leveled Sponsorship

Name *

First Name

Last Name

Phone *

(###)

###

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Sponsor Confirmation

I will email my logo upon payment.

I would like to be a logo sponsor.

I would like to be an event sponsor.