Team Registration Form

Your Email Adress: *

Competition & Date: *
Division: *
Team Classification: * M, L, V/M, V/L, SV, J, SJ (codes only)
Team Name: * (Must be either Club or Division)

Team Member 1
Name: *
FCA No: *
Club: *
Section: * M, L, V/M, V/L, SV, J, SJ (codes only)

Team Member 2
Name: *
FCA No: *
Club: *
Section: * M, L, V/M, V/L, SV, J, SJ (codes only)

Team Member 3
Name: *
FCA No: *
Club: *
Section: * M, L, V/M, V/L, SV, J, SJ (codes only)

Team Member 4
Name: *
FCA No: *
Club: *
Section: * M, L, V/M, V/L, SV, J, SJ (codes only)

Total Individual Fees: * Individual Fees: Senior $7.00 ea, Junior $2.00 ea
Team Fee: * Team Fees: Senior $20.00 ea, Junior $10.00 ea
Total Fee: *