| Team Name: | UCLA Superstars Cancer Buck Off | ||||||||||||||||||||
| Team Fee Paid: | Yes | ||||||||||||||||||||
| Qualify for | |||||||||||||||||||||
| LAST NAME | FIRST NAME | Method of Individual 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 | |||||||||
| Arthur | Carina | Captain | Online | Yes | Yes | 5/22/2010 | M | Yes | Yes | $ 200.00 | |||||||||||