2009 National Contest: Team Form

Please fill out the form below for each Team Member by June 30, 2009. (No more than 4 Team Members)

(Press the TAB key to move from field to field)

Team Member No. 1

State.....:

Name....:

Address: City...: State: Zip:

Phone...: Sex: Age: Date of Birth:

T-Shirt Size:

Please select the Fun Day Activities. Please rank choices in order of preference 1 = First Choice, 2 = Second Choice and 3 = Third Choice.

Team Member No. 2

Name....:

Address: City...: State: Zip:

Phone...: Sex: Age: Date of Birth:

T-Shirt Size:

Please select the Fun Day Activities. Please rank choices in order of preference 1 = First Choice, 2 = Second Choice and 3 = Third Choice.

Team Member No. 3

Name....:

Address: City...: State: Zip:

Phone...: Sex: Age: Date of Birth:

T-Shirt Size:

Please select the Fun Day Activities. Please rank choices in order of preference 1 = First Choice, 2 = Second Choice and 3 = Third Choice.

Team Member No. 4

Name....:

Address: City...: State: Zip:

Phone...: Sex: Age: Date of Birth:

T-Shirt Size:

Please select the Fun Day Activities. Please rank choices in order of preference 1 = First Choice, 2 = Second Choice and 3 = Third Choice.