Team Registration

$80/Team **up to 4 people/team

Team Captain's First Name

Team Name

Phone Number

Please mail your check to:

1760 Southridge Drive

Jefferson City, MO 65109

**Team name or Captain's Name in MEMO

**Once you hit submit, you will be redirected based on the payment method you've selected.**

Team Captain's Last Name

Payment Method:

Pay Online (PayPal, Credit, Debit)

Pay with Check

Would you like to cover the small processing fee ($3) to help us maximize our fundraiser?

Yes