Team Registration | The Children’s Home of Wyoming Conference

Team Registration 2025

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Team Captain
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
Team Member
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Team Member
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Team Member
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Division
Select One Option*
- Men's
- Women's
- Mixed
Registration Type
Registering Per Person or as a Team*
- Per Person
- Team
Per Person Quantity
Price: $125.00
Checks should be made payable to Children’s Home. You can also pay with your credit card below.
Per Team Quantity
Price: $500.00
Checks should be made payable to Children’s Home. You can also pay with your credit card below.
Payment Type*
Check Payment Instructions
Please write a check payable to:
Office of Community & Donor Relations
And mail the check to:
1182 Chenango Street
Binghamton, NY 13901
Total
$0.00

Team Captain