Battle of the SEXperts Registration Form 2012

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Battle of the SEXperts Registration Form 2012
Battle of the SEXperts is a series of games where teams of 4 compete against
one another testing their knowledge of SHAPE presentation material and information. It
will be held on April 17th in the Union at 7:30 pm. Registration will be $10 per person
(40 total per team) which includes your registration and a shirt, if submitted by April 4th.
Registration and payment may be turned in at any time at any SHAPE tabling in the
Student Union or at Lafene’s Health Promotions office in room 268 of The Lafene
Health Center.
Team Name: ________________________ Team Leader: _______________________
Leader Contact Information:
Email: ___________________________________ Phone Number: ________________
Team Members:
Leader’s Name: __________________________________ Shirt Size: ___________
Teammate 2’s Name: ______________________________ Shirt Size: ___________
Teammate 3’s Name: ______________________________ Shirt Size: ___________
Teammate 4’s Name: ______________________________ Shirt Size: ___________
The shirt design will be as pictured to the right.
Early Bird Registration (April 4th) = $10
Late Registration (after April 4th) = $15
Number of additional shirts ($10 each):
Size & quantity of each additional shirts:
______________________________________
______________________________________
______________________________________
______________________________________
Payment Information:
Cash ____ Amount ______ -and/or- Check ____ Number of Checks ___ Amount _____
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