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Program Director's Name
*
First
Last
Program Name
*
Director's Phone
*
Director's Email
*
How many teams will you be registering?
*
1 Team - $ 375.00
2 Teams - $ 700.00
3 Teams - $ 1,050.00
4 Teams - $ 1,400.00
5 Teams - $ 1,750.00
6 Teams - $ 2,100.00
7 Teams - $ 2,450.00
8 Teams - $ 2,800.00
9 Teams - $ 3,150.00
10 Teams - $ 3,500.00
Team Information
1st Team Name
*
1st Team's Division Request
*
17U
16U
15U
14U
13U
12U
11U
2nd Team Name
*
2nd Team's Division Request
*
17U
16U
15U
14U
13U
12U
11U
3rd Team Name
*
3rd Team's Division Request
*
17U
16U
15U
14U
13U
12U
11U
4th Team Name
*
4th Team's Division Request
*
17U
16U
15U
14U
13U
12U
11U
5th Team Name
*
5th Team's Division Request
*
17U
16U
15U
14U
13U
12U
11U
6th Team Name
*
6th Team's Division Request
*
17U
16U
15U
14U
13U
12U
11U
7th Team Name
*
7th Team's Division Request
*
17U
16U
15U
14U
13U
12U
11U
8th Team Name
*
8th Team's Division Request
*
17U
16U
15U
14U
13U
12U
11U
9th Team Name
*
9th Team's Division Request
*
17U
16U
15U
14U
13U
12U
11U
10th Team Name
*
10th Team's Division Request
*
17U
16U
15U
14U
13U
12U
11U
Payment Information
Stripe Credit Card
*
Card
Name on Card
Total
$ 0.00
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