Team Name:	Shield Healthcare

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

Adams	Jennifer	Member	Online		Yes	No		XL	No	No						$ -		$ -
Flores	Gina	Member	Online		Yes	No		S	No	No						$ -		$ -
Kelly	Elaine	Member	Online		Yes	Yes	P/U @ Wrap	M	Yes	Yes						$ -	$ 225.00	$ 225.00
March	Teri	Captain	Online		Yes	No		XL	No	No						$ -		$ -
																$ -		$ -
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GENERAL DONATIONS													$ 1,070.74	$ 115.00		$ 1,185.74	$ 80.00	$ 1,265.74
Registration Overpay												$ 10.00				$ 10.00		$ 10.00
Corporate Sponsor																$ -		$ -
Day Of - Team Raffles																$ -		$ -
Day Of -Booth Sales																$ -		$ -

					4	1			1	1		$ 10.00	$ 1,070.74	$ 115.00
					Total # of bands	Total # of shirts			Total # of lunch	Total # of dinner		Nov Credit	acs office	acs office
Count of team members	4											11/30/2009	6/4/2010	6/8/2010		$ 1,195.74	$ 305.00	$ 1,500.74
												Entry # 1	Entry # 2	Entry # 3		(Checks/Cash)	(On-Line Only)	Total to Date

																Team Fee Paid: