TOC Registration
TOC Registration
Name
*
:
Address
*
:
City
*
:
State/Province
*
:
Postal/Zip Code
*
:
Email Address
*
:
Phone
*
:
Birthdate
*
:
Squad (determined by medals won)
*
:
Friday 6:30pm (less than 3 medals) all ages
Saturday 9:30am (1-2 gold or 3-6 tot. medals) all ages
Sat 1 & 4:30pm (3-5 gold or 7+ tot. medals) Minor & Boys Mid
Sat. 2:30 & 6pm (3-5 gold or 7+ tot. medals) Boys+Girls Open
Age Division
*
:
Boys Open
Boys Mid
Minor
Girls Open
Credit Card Number
*
:
Credit Card Expiration Date
*
:
Entry Fee:
$69 (June 13 or earlier)
$79 (after June 13)
$35 (Friday PTQ)
Sportsmanship Agreement:
I have read and agree to follow the sportsmanship rules
Dress Code Agreement:
I have read and agree to follow the dress code
Pliner.Net is not responsible for the content of member forms.
AFTER YOU SEND THE COMPLETED FORM, YOU WILL NOT RECEIVE A CONFIRMATION PAGE. CHECK KEYSTONETOUR.COM FOR SQUAD SCHEDULES. IF YOU HAVE ANY PROBLEMS, E-MAIL kopan@nauticom.net
