Kick for a Cause Registration 2022

Team Captain Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Phone*
Team Name*
Team Type*
- I want to join a team
- I want to setup my own team
- I want to sponsor a parent team
- I want to sponsor a student team
- I want to sponsor a teacher team
# of Team Member*
- 7-10
- 11-15
- To Be Determined
Team Member Names & T-Shirt Sizes
Name T-shirt Size
Team Options*
Organization Logo (Sponsors Only)
Drop files here or