Team Name:

California Highway Patrol

Team Fee Paid:

Yes

Qualify for

LAST NAME

FIRST NAME

Method of Indivdual Registration

Minor Under 18yrs

Wrist band

Event T-shirt ($100)

Date Shirt was Picked Up

Shirt Size

Free Lunch ($100)

Free Dinner ($100)

CHECKS/CASH

ON-LINE

GRAND TOTAL

Gleckman

Jeff

Member

Online

Yes

Yes

5/22/2010

XL

Yes

Yes

$                     -

$            100.00

$            100.00

Hoose

Todd

Captain

Online

Yes

Yes

5/22/2010

XL

Yes

Yes

$    100.00

$      50.00

$            150.00

$            250.00

$            400.00

Horanberg

Guy

Member

Not on File

No

$        5.00

$                 5.00

$                 5.00

Larez

Christina

Member

Online

Yes

Yes

5/22/2010

L

Yes

Yes

$                     -

$            200.00

$            200.00

Luzny

Brian

Member

Not on File

No

$      50.00

$              50.00

$              50.00

Ruiz

Victor

Member

Online

Yes

No

XL

No

No

$                     -

$                     -

$                     -

Whitehead

Brigitte

Member

Online

Yes

No

S

No

No

$                     -

$              25.00

$              25.00

Whitehead

Jerry

Member

Online

Yes

No

M

No

No

$                     -

$              25.00

$              25.00

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

GENERAL DONATIONS

$                     -

$              20.00

$              20.00

Registration Overpay

$                     -

$                     -

Corporate Sponsor

$                     -

$                     -

Day Of - Team Raffles

$                     -

$                     -

Day Of -Booth Sales

$                     -

$                     -

6

3

3

3

$    100.00

$      55.00

$      50.00

$             -

Total # of bands

Total # of shirts

Total # of lunch

Total # of dinner

campsite

relay

acs office

Count of team members

8

13-May-10

5/22/2010

6/4/2010

$            205.00

$            620.00

$            825.00

Entry # 1

Entry # 2

Entry # 3

(Checks/Cash)

(On-Line Only)

Total to Date

California Highway Patrol