2017 WAT Team Registration
Wing-A-Thon is a chicken wing eating contest that raises money for UMMC Greenebaum Cancer Center!

April 24th, 2017 from 5:30-7:30 PM
SMC Campus Center, Elm Rooms A & B

Registration fee (early/late):
UMB students or Kappa Psi Brothers: $10/$12
Others (ex. non-UMB students): $12/$15

Each team is required to raise an additional $75 ($15 per person)
All funds will be donated directly to the Greenebaum Cancer Center.

Email address
Team Name
Be creative!!
Your answer
Who is your Team Leader? (Team Member #1)
Please choose someone who is prompt at replying to e-mails - all correspondence about donations and event details will be channeled through the team leader.
Your answer
Team Leader's E-mail Address
Your answer
Team Leader's Phone Number
Your answer
Team Leader's T-Shirt Size
What University does the Team Leader attend?
Which professional school is the Team Leader enrolled in?
(Dental, Graduate, Law, Medical, Nursing, Pharmacy, Social Work, N/A)
Your answer
Please list other Team Members (up to 4)
5 team members are not required to compete. However, most teams sign up with 5 members in order to give someone in the team a break.

Note: There can be a maximum of 4 team members eating a time. The 5th team member will switch with one of the four members currently eating. Only one substitution is allowed during the contest. Please note that the Team Leader is Team member #1.

Team Member #2
Team Member #2
Name
Your answer
Team Member 2's T-Shirt Size
Is Team Member 2 a UMB Student?
If yes, please indicate which school.
(Dental, Graduate, Law, Medical, Nursing, Pharmacy, Social Work)
Your answer
Team Member #3
Team Member #3
Name
Your answer
Team Member 3's T-Shirt Size
Is Team Member #3 a UMB Student?
If yes, please indicate which school.
(Dental, Graduate, Law, Medical, Nursing, Pharmacy, Social Work)
Your answer
Team Member #4
Team Member #4
Name
Your answer
Team Member #4's T-Shirt Size
Is Team Member #4 a UMB Student?
If yes, please indicate which school.
(Dental, Graduate, Law, Medical, Nursing, Pharmacy, Social Work)
Your answer
Team Member #5
Team Member #5
Name
Your answer
Team Member #5's T-Shirt Size
Is Team Member #5 a UMB Student?
If yes, please indicate which school.
(Dental, Graduate, Law, Medical, Nursing, Pharmacy, Social Work)
Your answer
Thank you for registering!!! You rock!!
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