OFFICIAL TEAM REGISTRATION FORM
BEFORE FORM SUBMISSION COLLECT NAMES AND EMAILS OF TEAM PARTICIPANTS
(Must be 18 or older to participate)
Questions or concerns? Call 502-241-1175

A 2019 Pegasus Pin is required for entry into this event.
75% of your payment is tax deductible

General Information
Company Name
Your answer
Team Name *
Your answer
Address (company or personal) *
Your answer
City (company or personal) *
Your answer
State [format: XX, ex: KY] *
Your answer
Zip *
Your answer
Team Captain's Name *
Your answer
Team Captain's Cell Phone [format: xxx-xxx-xxxx] *
Your answer
Team Captain's Email *
Your answer
Team Roster
Please enter the names and emails of all four participants
Participant 1 [format: Last, First, ex: Polsgrove, Diana] *
Your answer
Participant 1 email *
Your answer
Participant 2 [format: Last, First, ex: Polsgrove, Diana] *
Your answer
Participant 2 email *
Your answer
Participant 3 [format: Last, First, ex: Polsgrove, Diana] *
Your answer
Participant 3 email *
Your answer
Participant 4 [format: Last, First, ex: Polsgrove, Diana] *
Your answer
Participant 4 email *
Your answer
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