Search

facebook

2011 Team Tournament Registration

Posted Sat, 09/12/2009 - 12:51am by ccgroberg

Team Managers or Coordinators: Please complete one entry form PER team.

This form is part one of the Registration process. Each team is required to provide an Appraiser and a Volunteer.

Please note that an asterisk means that area MUST be filled out.

ILDI Region: *

School/Organization Membership Name:

Team Number:

Team Name (if have one):

Team Challenge:

Team Level:

TM First Name: *

TM Last Name: *

TM Street Address:

TM Email:

TM Work Phone:

TM Phone :

TM Experience Level:

Co-TM First Name:

Co-TM Last Name:

Co-TM Email:

(REQUIRED) Team Roster: *

Please provide names and grade for all team members.

Special Considerations:

Please note any special scheduling or other considerations that should be taken into account regarding this team or one of its members (e.g. team member with a disability, TM has more than one team, etc)

Publicity:

In order that we can publicize your team's participation in our DI Regional Tournament, please provide us with name and contact information for your local newspaper.

Name of person submitting form: *