Team Name:

Kickin' Kahunas

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

Amell

Behnaz

Member

Online

Yes

Yes

5/13/2010

M

Yes

Yes

$      25.00

$              25.00

$            260.00

$            285.00

Burstein

Dave

Member

Online

Yes

No

M

No

No

$                     -

$              25.00

$              25.00

Donovans

.

Member

Not on File

No

Yes

P/U @ Wrap

??

$    100.00

$            100.00

$            100.00

Fox

Ellen

Member

Online

Yes

Yes

P/U @ Wrap

M

No

No

$    200.00

$            200.00

$                     -

$            200.00

Javan

Joselito

Captain

Online

Yes

Yes

5/22/2010

L

Yes

Yes

$    335.00

$            335.00

$            130.00

$            465.00

Javan

Sally

Member

Online

Yes

No

XL

No

No

$                     -

$              35.00

$              35.00

Munn

Deja

Member

Online

Yes

No

L

No

No

$                     -

$              35.00

$              35.00

Solomon

Legend

Member

Online

Yes

No

YM

No

No

$                     -

$                     -

$                     -

Tremblay

Hayden

Member

Online

Yes

No

L

No

No

$      25.00

$              25.00

$              20.00

$              45.00

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

GENERAL DONATIONS

$    162.00

$            162.00

$              20.00

$            182.00

Registration Overpay

$                     -

$                     -

Corporate Sponsor

$                     -

$                     -

Day Of - Team Raffles

$      12.70

$              12.70

$              12.70

Day Of -Booth Sales

$                     -

$                     -

8

4

2

2

$    162.00

$      25.00

$    335.00

$    337.70

$             -

Count of team members

9

Total # of bands

Total # of shirts

Total # of lunch

Total # of dinner

from general donations

acs office

acs office

relay

4-May-10

5/19/2010

5/21/2010

5/22/2010

$            859.70

$            525.00

$         1,384.70

Entry # 1

Entry # 2

Entry # 3

Entry # 4

(Checks/Cash)

(On-Line Only)

Total to Date

Kickin' Kahunas