Derby Dodgeball Team Registration
Registration Details
Registration fees are $20 per player paid in advance (6-8 players per team). This fee includes a team t-shirt, a snack, and a bottle of water.

Teams can be co-rec, all guys, or all girls. Each team will be made up of 6-8 players. Your team gets to pick your t-shirt color & team name to help represent your team.

All team members will be required to submit a waiver before competing.

Team Name
Your answer
Shirt Color Preference (3)
These will be decided on a first come, first served basis. If all three colors you give us have already been chosen, we will contact you to choose a different color.
Your answer
Name - Team Captain
Your answer
Shirt Size
Email Address
Your answer
Phone Number
Your answer
Number of Players
Your answer
Player Name
Your answer
Shirt Size
Player Name
Your answer
Shirt Size
Player Name
Your answer
Shirt Size
Player Name
Your answer
Shirt Size
Player Name
Your answer
Shirt Size
Player Name
Your answer
Shirt Size
Player Name
Your answer
Shirt Size
Payment Information
Please make checks out to Capital City Crushers and send to Cassandra Novack at 1237 SW Fillmore, Topeka, KS, 66604.

Payment can also be made through Paypal to crusherstore@hotmail.com.

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms