I have read the terms and conditions and agree.

Team Captain:

Phone Num:

Team Name :

Address:

City:

State: Zip:

Please note: after you submit this page, an email of your registration information will be sent. You will then have the opportunity to pay for your registration using Google checkout. There will be different buttons for each option. Note you can only purchase one item at a time using the buttons, for example 2 spaces will require you to click the button and go through the process twice.