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2018 Dodge Drugs Team Registration
Teams should consist of 6 people
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Team Name *
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List individual team member names
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Affiliated organization if applicable
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Contact Person for the team *
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Email address for contact person *
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Phone number for contact person *
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Will this team be participating in the Youth or the Adult division of the tournament? *
Cost: $30 per team of 6
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Team registration fee can be paid by mail or at the door on the day of the event. Payment can be sent to Prevention Means Progress at 515 E Broadway, Council Bluffs, IA, 51503. Please make checks payable to Heartland Family Service. There is a $1 admission fee for those who just want to watch the fun! This will be collected at the door on the day of the event.
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All individuals participating on a dodgeball team must sign a release on the day of the event before playing. Individuals under the age of 18 must have a parent signature.
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