Fall 2017 MCBL Individual Registration
Please select your team name. *
First Name *
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Last Name *
Your answer
Date of Birth *
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Gender *
Email address *
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Email address associated with Paypal *
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Phone number I can text you on if needed. *
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Emergency Contact First & Last Name *
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Emergency Contact Phone Number *
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Is your team ordering TEAM TEES this season? (All tees are $19) If so, your team captain informed me of the color at team registration and is listed below.
Did your team NOT order tees, but you want one of your own? You can order yours as an INDIVIDUAL here by selecting a remaining color. ($19) All tees are triblend, so have a "heathered" look unless stated as solid.
Skip this question if your team has decided to order team tees as stated above.
If you ordered a tee as a team or as an individual, please select your size and style of tee.
Please remember tees are an additional $19. Please skip this question if you did not order a tee.
I have read and understood the foregoing assumption of risk, and release of liability and I understand that by signing below obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission. I understand that by typing my name below, I am waiving valuable legal rights. Please follow link below to read full document. *
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