Team Name:

Kaiser Permanente Thrive

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

Bestle

Ronda

Captain

Online

Yes

Yes

P/U @ Wrap

4XL

Yes

Yes

$    600.00

$    250.00

$            850.00

$                     -

$            850.00

Bestle

Rory

Member

Paper

Yes

Yes

5/22/2010

XL

Yes

Yes

$      10.00

$    100.00

$            110.00

$            110.00

Calfey

Cybthia

Member

not on file

NO

Yes

P/U @ Wrap

??

$    100.00

$            100.00

$            100.00

Conway

Anne

Member

not on file

NO

Yes

5/22/2010

??

Yes

Yes

$    100.00

$            100.00

$            100.00

Dowham

Thelma

Member

not on file

NO

No

??

No

No

$      50.00

$              50.00

$              50.00

Lavelle

Jeff

Member

not on file

NO

Yes

P/U @ Wrap

??

Yes

Yes

$    100.00

$            100.00

$            100.00

Salas

JoAnn

Member

Paper

Yes

Yes

5/22/2010

L

Yes

Yes

$    100.00

$            100.00

$            100.00

Shelden

Terri

Member

Online

Yes

Yes

5/22/2010

S

Yes

Yes

$                     -

$            100.00

$            100.00

Sogomosa

Mila

Member

not on file

NO

No

??

No

No

$      30.00

$              30.00

$              30.00

Wong

David

Member

not on file

NO

No

??

No

No

$      10.00

$              10.00

$              10.00

Miki

Member

not on file

NO

No

??

No

No

$      30.00

$              30.00

$              30.00

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

GENERAL DONATIONS

$                     -

$                     -

Registration Overpay

$                     -

$                     -

Corporate Sponsor

$                     -

$                     -

Day Of - Team Raffles

$                     -

$                     -

Day Of -Booth Sales

$                     -

$                     -

4

7

6

6

$    130.00

$    300.00

$    700.00

$    100.00

$    250.00

Total # of bands

Total # of shirts

Total # of lunch

Total # of dinner

campsite

relay

Relay

Acs Office

Count of team members

11

13-May-10

5/22/2010

5/22/2010

8/25/2010

$         1,480.00

$            100.00

$         1,580.00

Entry # 1

Entry # 2

Entry # 3

Entry # 4

Entry # 5

(Checks/Cash)

(On-Line Only)

Total to Date

Kaiser Permanente Thrive