AIL Group LLC
Presents
Team Quest
2010 Regional Championship
"When Nature Calls: A to Z"
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Team Quest Regional Location: _____________________________________________
Grade Level: __________________ Date of Program: ___________________
Fax Registration Form
School Name: ______________________________________________ Zip Code: _____________
School Address: _______________________________ City: _________________ State: ________
School Phone: _______________________________ School Fax: __________________________
Sponsor Name: ______________________________ Sponsor Email: _______________________
Team Information
Please confirm the spelling of student names
Student Name Grade T-Shirt Size
1) ________________________________________ __________ __________________
2) ________________________________________ __________ __________________
3) ________________________________________ __________ __________________
4) ________________________________________ __________ __________________
T-shirts should be pre-ordered and paid for on the day of the program. Shirts are $13.00 each. ($14 2XL)
A limited number of shirts will be available for those who do not pre-order. T-shirts come in the following sizes:
child 10/12 or child 14/16 Adult small, medium, large, extra large, 2XL
Payment Information
Bill To: _______________________________________________ Zip Code: ________________
Billing Address: __________________________________ City: ______________ State: ______
Purchase Order Number: _________________________________ Check Number: ___________
Purchase Order Amount: ___________________________________________________________