Friends of Tuckerman Ravine | PO Box 43 | Madison, NH 03849 | (603) 367-4417
Wildcat Wildfire Team Registration
 5 person Team with at least one member of the opposite sex
( * indicates required information)
ALL TEAM MEMBERS MUST REGISTER INDIVIDUALLY

Submission of a this form implies acceptance of Race Release & Model Release

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Team Captain Are You The Team Captain? Yes
Team Name: *
Sport: *
Full Name: *
Gender: *
Birth date: *
Age *
(Race Day)
Email: *
Day Phone: Ext.
Evening Phone: Ext.
Address 1: *
Address 2:
City: *
State: *
Zip: *
Country:
T-Shirt Size?
Need Lodging? Yes No
Awards Dinner

Do you need extra dinner tickets? Tickets are $16 Each
These will be billed separately to your credit card
Do you need extra T-Shirts? Extra T-Shirts are $20 Each
These will be billed separately to your credit card
Registration Fee: * Select Fee Type

Fee includes registration and handling, one T-Shirt and one Banquet Ticket per Team Member. For Those That Select Registration "Prepaid By Captain"
Extra T-Shirts & Dinners Can Be Paid For At Sign In.
Comments:
Captains use this area to give us the names of all team members and their sport if possible. 		Please include any questions you might have.
   

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