Team Name:

Circle of Hope

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

Dewhurst

Gail

Member

Not on File

Yes

No

L

No

No

$                     -

$                     -

Jonas

Joanne

Member

Not on File

NO

No

??

No

No

$      60.00

$              60.00

$              60.00

Livingston

Carolyn

Member

Online

Yes

Yes

5/13/2010

L

Yes

Yes

$                     -

$            100.00

$            100.00

Morner

Melinda

Member

Online

Yes

Yes

5/13/2010

M

Yes

Yes

$                     -

$            100.00

$            100.00

Shaffer

Colleen

Captain

Online

Yes

No

S

No

No

$      50.00

$              50.00

$              10.00

$              60.00

Toppe

Judith

Member

Not on File

NO

no

??

No

No

$      10.00

$              10.00

$              10.00

Tuttle

Wanda

Member

Not on File

NO

no

??

No

No

$      20.00

$              20.00

$              20.00

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

GENERAL DONATIONS

$      40.00

$      25.00

$              65.00

$              70.00

$            135.00

Registration Overpay

$                     -

$                     -

Corporate Sponsor

$                     -

$                     -

Day Of - Team Raffles

$    120.00

$            120.00

$            120.00

Day Of -Booth Sales

$                     -

$                     -

4

2

2

2

$    180.00

$    120.00

$      25.00

$             -

Total # of bands

Total # of shirts

Total # of lunch

Total # of dinner

campsite

relay

acs office

Count of team members

7

13-May-10

6/4/2010

$            325.00

$            280.00

$            605.00

Entry # 1

Entry # 2

Entry # 3

(Checks/Cash)

(On-Line Only)

Total to Date

Circle of Hope