Team Registration Form

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* 1. Captain's Name

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* 2. Contact Email Address

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* 3. Contact Phone Number

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* 4. Team Name

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* 5. Workplace Name

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* 6. Are all of your team over the age of 18?

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* 7. How would you like to pay for your team entry?

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* 8. If you are unable to attend this event, you will need to notify Wesport, a minimum of 2 weeks prior to the event day. If you cancel your entry after this time you will be charged in full for your team entry.

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* 9. I give permission for Wesport to contact me about relevant Active Workplace information

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* 10. Please use the box below for any additional questions or comments

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