2O23 BADGERETTE “KICKING FOR A CURE” R E G I S T R A T I O N F O R M Please fill out the complete form below and return by email. This MUST be received in writing BY Friday, September 8 th –> 9:00AM to qualify and receive event T-Shirts! ALL Final Donations are due BY October 6 th TEAM NAME _____________________________________________________________________ COACH CONTACT ________________________________________________________________ MAILING ADDRESS _______________________________________________________________ CITY/STATE ___________________________________________ ZIP______________________ EMAIL __________________________________________ PHONE ( )__________________ Please CONFIRM your participation below:
BADGERETTE “KICKING FOR A CURE” KOMEN WALK ~ Sunday, September 24 th @ 8:30am
_________ TOTAL dancers/coaches participating @ minimum $12 donation each= $______________
T-SHIRT SIZES:
______YL ______S
______M
______L
_____XL
ALL ELIGIBLE DONATION CHECKS must be turned in, and payable to: ! BADGERETTE “KICKING FOR A CURE” "
* This amount must be turned in at the” More Than Pink” Komen Walk to Badgerette Staff to be eligible for T-shirts and $300 Badgerette CAMP SCHOLARSHIP Award! Scholarships will be awarded to the 2 highest earning individual teams with donations of at least $500 or more total! (ex. 2 teams from same group cannot combine for award) All follow-up information, performance instructions, downtown race maps and parking suggestions will be emailed to the contact person upon receipt of registration. EMAIL or PHONE In your entry:(262)255-9581 or info@badgerettepompon.com
P.O. Box 510038, New Berlin, WI 53151 www.badgerettepompon.com (262) 255-9581
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