SEPA Mujer 2019 Volleyball Tournament
Registration - Registracion
We are doing it again with the hopes to raise $1,000 for our Legal Immigration Assistance for Victims Program! It is also a very necessary space for activists and the impacted community to come together, de-stress, and re-energize in such troublesome times.

SUNDAY August 11th 2019 10AM-2:30PM
HECKSCHER STATE PARK
1 Heckscher State Pkwy, East Islip, NY 11730: FIELD 6

REGISTER AS AN INDIVIDUAL ($10)
OR REGISTER YOUR VERY OWN TEAM:
$60 for 6 Registered Players +$8 Any Additional Players_Up to 12 Registered Players

Pick your friends(wisely), Pick your team name, Pick your team shirt color!

Want to play with your own logo?
Non Profit Organizations:$100 ($10-15 ea player)_Up to 12 Registered Players
Agencies/ Service Providers: $180 _Up to 12 Registered Players
Business: $300_Up to 12 Registered Players

Please complete the Registration Form & our organizer will contact you directly to confirm payment and additional instructions. Contact mmaffei@sepamujer.org or drojas@sepamujer.org to attain this form in pdf format.
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Lo volvemos hacer con la esperanza de recaudar $1,000 para nuestro programa; Asistencia Legal Inmigratoria para Victimas de Crimen!

DOMINGO11 de Agosto 2019 10AM-2:30PM
HECKSCHER STATE PARK
1 Heckscher State Pkwy, East Islip, NY 11730: FIELD/CANCHA 6

Registrate como individuo ($10)
O Registra tu propio equipo:
$60 para 6 Personas Registradas +$8 para cualquier Persona que se registre adicional _Limite de 12 Personas p/Equipo

Escoje tus amigos, Escoje el nombre de tu equipo, Escoje tu playera!

Quieres jugar con tu logo?
Organizaciones: $100 ($10-15 cada jugador)_Limite de 12 Personas p/Equipo
Agencias: $180 _Limite de 12 Personas p/Equipo
Negocios/Corporaciones: $300_Limite de 12 Personas p/Equipo

Por favor de llenar el formulario y nuestra organizadora lo/a contactara para confirmar modo de pago y instrucciones adicionales. Contacte mmaffei@sepamujer.org Martha Maffei o Dulce Organizer drojas@sepamujer.org o para obtener esta forma en .pdf.
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ORGANIZER:
DULCE ROJAS
OFFICE: (631) 980-2555 ext 11
DROJAS@SEPAMUJER.ORG

Name/ Nombre *
Your answer
Telephone / Cell *
Your answer
Are you a member of SEPA Mujer? Eres miembro de SEPA Mujer? *
How do you know SEPA Mujer? Como conoce SEPA Mujer? :)
Your answer
Sign me up for the Volleyball Tournament! Me apunto para el Torneo de Voleibol! *
If you are registering a team please fill out bottom portion, if not you are DONE! CLICK SUBMIT . Si estas registrando un equipo llena la porción de abajo, si no, ya ACABASTE! HAZ CLICK DONDE DICE SUBMIT .
What is the name of your Team? Cual es el nombre de tu Equipo?
Your answer
Pick your Team Color! Escoje tu color del equipo!
Register your Team: Register first & last names of your team members. 6 Players min, 12 Players max Registrar tu equipo: Por favor registrar los nombres completos de las personas en tu equipo.
Team Player 1 (Captain/Capitan)
Your answer
Team Player 2
Your answer
Team Player 3
Your answer
Team Player 4
Your answer
Team Player 5
Your answer
Team Player 6
Your answer
Team Player 7
Your answer
Team Player 8
Your answer
Team Player 9
Your answer
Team Player 10
Your answer
Team Player 11
Your answer
Team Player 12
Your answer
Submit
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