Team Name:

Dancing for an Everlasting Cure 2

Team Fee Paid:

Yes

Qualify for

LAST NAME

FIRST NAME

Method of Indivdual Registration

Minor Under 18yrs

Wrist band

Event T-shirt ($100)

Date Shirts was Received

Shirt Size

Free Lunch ($100)

Free Dinner ($100)

CHECKS/CASH

ON-LINE

GRAND TOTAL

Brinkerhoff

Katie

Member

Online

Yes

Yes

5/22/2010

M

Yes

Yes

$                     -

$            100.00

$            100.00

Land

Jamie

Member

Online

Yes

Yes

5/22/2010

S

Yes

Yes

$                     -

$            100.00

$            100.00

Newton

Rachel

Member

Online

Yes

Yes

5/22/2010

M

Yes

Yes

$                     -

$            100.00

$            100.00

Patterson

Nicole

Member

Online

Yes

Yes

5/13/2010

YS

Yes

Yes

$                     -

$            245.00

$            245.00

Shepherd

Katie

Member

Online

Yes

Yes

5/22/2010

S

Yes

Yes

$                     -

$            100.00

$            100.00

Uiga

Colleen

Member

Online

Yes

No

M

No

No

$                     -

$                     -

$                     -

Wilson

Joy

Captain

Online

Yes

Yes

5/13/2010

L

Yes

Yes

$    100.00

$            100.00

$                     -

$            100.00

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

GENERAL DONATIONS

$                     -

$                     -

Registration Overpay

$                     -

$                     -

Corporate Sponsor

$                     -

$                     -

Day Of - Team Raffles

$                     -

$                     -

Day Of -Booth Sales

$                     -

$                     -

7

6

6

6

$    100.00

$             -

Total # of bands

Total # of shirts

Total # of lunch

Total # of dinner

Main ACS office

Count of team members

7

4-May-10

$            100.00

$            645.00

$            745.00

Entry # 1

Entry # 2

(Checks/Cash)

(On-Line Only)

Total to Date

Dancing for an Everlasting Cure 2