Kick Out Cancer!

Kickball Tournament Registration Form

INSTRUCTIONS
• Each member must complete registration form
• All donations are non-refundable and non-transferable.
• All donations are tax deductible to the extent allowed by law.
• Donations cannot be split amongst participants.
• $20 Individual and $250 for Team 



Please complete this form: Individual Player or Team Player



Team Name:_____________________________________________________________



1. Donor Information_____________________________________________________________________________




First Name Last Name

Mailing Street Address

City State Zip

Email Address

Phone Number

Please e-mail this form to kickcancertourney@gmail.com by August 21, 2009.