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3rd Annual Queen City Dodgeball Tournament
An event to support the professionally-trained, Josh Cares Child Life Specialists
REGISTRATION FORM
Name
*
First Name
Last Name
Company Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone Number
Email
*
Verify Email
*
Will you be attending the Dodgeball Tournament?
*
If you can't make the Dodgeball Tournament but would like to make a donation, you might consider becoming a Spectator Sponsor at one of three levels or use the custom amount field below.
Yes, I will be attending, my registration is below
Sorry, I cannot make the Dodgeball Tournament but please accept my donation below
Participation Levels
*
$1,000
-
One Dodgeball Team
$5,000
-
Coolest Team Sponsor
$2,500
-
Middle Child Sponsor
$125
-
Spectator Sponsor
$50
-
Spectator Sponsor
$25
-
Spectator Sponsor
$
100% of Your Gift is Tax Deductible
Dodgeball Player Name(s)
Please provide the full names of all attendees.
Add 3% to my total amount to help cover the payment processing fees