MISSA Great Lakes Championship Registration

TEAM INFORMATION
School Name
MISSA Area
CONTACT INFORMATION
Primary Team Contact Name Primary Team Contact Name First Last
Primary Team Contact Email
Primary Team Contact Phone Primary Team Contact Phone - ### - ### ####
Coach Name Coach Name First Last
Coach Email
Coach Cell Phone Coach Cell Phone - ### - ### ####
SAILORS
Number of Sailors

Number of Sailors 4 Sailors 5 Sailors 6 Sailors 7 Sailors 8 Sailors
Sailor 1 Name
Sailor 2 Name
Sailor 3 Name
Sailor 4 Name
Sailor 5 Name
Sailor 6 Name
Sailor 7 Name
Sailor 8 Name
Entry Fee
Entry Fee $250 Per Team of four, plus $50 per additional sailor.

When you click submit, you will be taken to the PayPal site to complete your payment. You are not registered until you have paid. You do not need a PayPal account, and can pay by credit card with no extra fees.
$0

Total