GRILLE IT UP BED RACE REGISTRATION FORM

JULY 12TH
REGISTRATION BY TEAM
$25 PER TEAM

DEADLINE-Thursday, July 11th
• Races will start at 6:15PM unless otherwise specified by the Tournament Director
Registration forms and fees are due by the deadline

TEAM NAME *
PLAYER #5 * First Last
Age
Player #4 First Last
Age
Player #3 First Last
Age
Player #2 First Last
Age
CAPTAIN/PLAYER #1 * First Last
Age
PHONE * - ### - ### ####
ADDITIONAL PHONE - ### - ### ####
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email Address *
Registration Confirmation
You will receive a email confirmation stating DPR received your registration form. If you do not receive confirmation of registration please contact the park office 573-624-8244, it is your responsibility to confirm receipt of registration form. If DPR does not receive your registration and you do not have proof of registration (screen shot or email) your registration will not be accepted.
PAYMENT OPTIONS: *

PAYMENT OPTIONS: Pay Online Pay in Park Office Payment left in drop box

NO REFUNDS.
Draw your signature into the box below. *

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All teams must be registered by the deadline date, no exceptions and no refunds. This registration certifies that the team captain has acquired and understands all rules and regulations associated with the tournament. It is the team captain's responsibility to inform his/her team of all rules and regulations of the tournament. All rules are final and will not be changed prior to the tournament. Signing below gives Department of Parks and Recreation and its assigns, both during and anytime after, to use their likeness, name, voice, or words in either television, radio, film, newspaper, magazines, social media, and other media, and in any form, for the purpose of advertising or communication the purpose and activities of the Department of Parks and Recreation.
This signature verifies that I understand that registrations and fees must be turned in by the DEADLINE at 4:30pm. *

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