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Team Registration Form

Wednesday, April 24, 2019

At The Hippodrome in Jackson Ward

528 N. 2nd Street, Richmond, VA 23219

7pm-9pm

 
Register your team and pay by credit card on this form.
Want to register as a spectator? Click here instead.
Need help? Call (804) 288-9930 ⋅ E-mail elizabeth@readcenter.org
Registration Levels
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$
Team Information
Please provide all three of your team members' names. If you need to substitute a team member prior to the event, please email lisa@readcenter.org so we can update registration.
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Get creative! There will be a "Best Team Name" contest.
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First Name
Last Name

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First Name
Last Name

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First Name
Last Name

Team Captain or Sponsor Information
The contact information entered here should reflect the individual, organization, or business paying for the registration. Thank you!
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First Name
Last Name

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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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