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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 - $ 300.00
2 Teams - $ 550.00
3 Teams - $ 825.00
4 Teams - $ 1,100.00
5 Teams - $ 1,375.00
6 Teams - $ 1,650.00
7 Teams - $ 1,925.00
8 Teams - $ 2,200.00
9 Teams - $ 2,475.00
10 Teams - $ 2,750.00
Program Logo
*
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Please upload your program logo
Select Event Below
*
Jan 29-30, 2022
Jan 29-30, 2022
Feb 19-20, 2022
Team Information
1st Team Name
*
1st Team's Division Request (Girls)
*
14U
13U
12U
11U
10U
1st Team's Division Level
*
Gold
Silver
Bronze
2nd Team Name
*
2nd Team's Division Request (Girls)
*
14U
13U
12U
11U
10U
2nd Team's Division Level
*
Gold
Silver
Bronze
3rd Team Name
*
3rd Team's Division Request (Girls)
*
14U
13U
12U
11U
10U
3rd Team's Division Level
*
Gold
Silver
Bronze
4th Team Name
*
4th Team's Division Request (Girls)
*
14U
13U
12U
11U
10U
4th Team's Division Level
*
Gold
Silver
Bronze
5th Team Name
*
5th Team's Division Request (Girls)
*
14U
13U
12U
11U
10U
5th Team's Division Level
*
Gold
Silver
Bronze
6th Team Name
*
6th Team's Division Request (Girls)
*
14U
13U
12U
11U
10U
6th Team's Division Level
*
Gold
Silver
Bronze
7th Team Name
*
7th Team's Division Request (Girls)
*
14U
13U
12U
11U
10U
7th Team's Division Level
*
Gold
Silver
Bronze
8th Team Name
*
8th Team's Division Request (Girls)
*
14U
13U
12U
11U
10U
9th Team Name
*
9th Team's Division Request (Girls)
*
14U
13U
12U
11U
10U
9th Team's Division Level
*
Gold
Silver
Bronze
10th Team Name
*
10th Team's Division Request (Girls)
*
14U
13U
12U
11U
10U
10th Team's Division Request
*
Gold
Silver
Bronze
Payment Information
Stripe Credit Card
*
Card
Name on Card
Total
$ 0.00
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