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Registration is OPEN
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Teams Registered Event #3: |
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| D2: | |
| Midwest Chaos | Paid |
| Warpigs | Pending Pay |
| TTLords | Paid |
| Wiseguys | Pending Pay |
| D3: | |
Pending Reg = Registration not received.
Pending Pay = Payment not received.
Roster Error = There is a problem with your roster and you
need to contact Cleebartels@yahoo.com
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Registration Directions You may also make Payment over the phone. (812)988-7750. |
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Captain Contact Information: |
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* First Name: |
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* Last Name: |
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* Date of Birth: |
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* E-Mail: |
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* Address: |
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* City: |
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* State: |
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* Zip/Postal Code: |
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* Phone Number: |
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Team Information: |
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Team Name: |
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Division: |
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Player Roster: Please list up to 9 players for your team roster. If the players do not meet division rules, the team will be ejected. There is a $15/person fee for changing roster. Picture ID's must be provided at event check in. |
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Type of Paint Wanted: |
(This is just an estimate, no payment required) |
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Approximate # of cases needed: |
(This is just an estimate, no payment required)
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Travel Information: For more on camping and hotel information please contact the fields. Please check the Event Schedule for surrounding hotels and contact info. |
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Camping : |
YES NO Nights: Fri. Sat. Sun. |
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Payment: By placing my payment information in the space provided I am authorizing Valley Branch Retreat to charge accordingly. If Paying by cash or check please send money with registration form to:
(Payment MUST be
received two days before the scheduled event. There are no refunds.) |
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Payment Type: |
Check
(In-state Only)
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| (For Payment over the phone please call (812)988-7750) | |
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Name on Credit Card: |
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CC Number:: |
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Expiration Date: |
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Payment Before May 22nd.
Payment After May 22nd.
Copyright © 2004, 2005, 2006, 2007, 2008, 2009 Crossroads Tournament Series
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