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C.A.S.U.A.L Day 2019 Team Captain Registration Form
*Please complete the form below to become a Team Captain
*Please note that even if you have served as a Team Captain in past years, you must still register each year.
Name
*
First Name
Last Name
Organization/Employer
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Email
*
Verify Email
*
Phone
*
Have you served as a team captain before?
*
Yes
No