| First Name* |
*
|
| Last Name* |
*
|
| Email* |
*
|
| Address: |
|
| City: |
|
| State: |
|
| Zip Code: |
|
| Phone: |
*
|
| Skips Name: |
|
| Club Affiliation: |
* |
| Club Affiliation (if other): |
|
| Thirds Name: |
|
| Club Affiliation: |
|
| Club Affiliation (if other): |
|
| Seconds Name: |
|
| Club Affiliation: |
|
| Club Affiliation (if other): |
|
| Leads Name: |
|
| Club Affiliation: |
|
| Club Affiliation (if other): |
|
| Fifth Players Name: |
|
| Club Affiliation: |
|
| Club Affiliation (if other): |
|
| Can we contact you about sponsoring The Big Spiel? |
Yes |
| Are you a returning team? |
Yes |
| Submit: |
|
| |
|
