Team Name:

We Love David Hatfield

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

Forman

Dalton

Member

Online

Yes

No

L

No

No

$                     -

$                     -

$                     -

Hatfield

Christian

Member

Online

Yes

Yes

5/13/2010

M

Yes

Yes

$    350.00

$            350.00

$         1,300.00

$         1,650.00

Hatfield

Debi

Captain

Online

Yes

Yes

5/13/2010

L

Yes

Yes

$    290.00

$    200.00

$            490.00

$            300.00

$            790.00

Hatfield

Heather

Member

Online

Yes

No

S

No

No

$                     -

$                     -

$                     -

Hatfield

Isabelle

Member

Online

Yes

No

YM

No

No

$                     -

$                     -

$                     -

Milligan

Sabrina

Member

Online

Yes

Yes

5/22/2010

S

Yes

Yes

$                     -

$            110.00

$            110.00

Muth

Heather

Member

Online

Yes

Yes

5/13/2010

2XL

Yes

Yes

$      55.00

$              55.00

$            245.00

$            300.00

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

GENERAL DONATIONS

$    130.00

$    100.00

$      55.00

$            285.00

$         1,300.00

$         1,585.00

Registration Overpay

$                     -

$                     -

Corporate Sponsor

$                     -

$                     -

Day Of - Team Raffles

$    250.00

$    169.00

$            419.00

$            419.00

Day Of -Booth Sales

$                     -

$                     -

7

4

4

4

$    250.00

$    825.00

$             -

$    200.00

$    269.00

$      55.00

Total # of bands

Total # of shirts

Total # of lunch

Total # of dinner

Relay

Relay

Relay

relay

relay

relay

Count of team members

7

22-May-10

22-May-10

22-May-10

5/22/2010

5/22/2010

7/29/2010

$         1,599.00

$         3,255.00

$         4,854.00

Entry # 1

Entry # 2

Entry # 3

Entry # 4

Entry # 5

Entry # 6

(Checks/Cash)

(On-Line Only)

Total to Date

We Love David Hatfield