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Individual Registration List Use this form to collect the names and information of those attending the QCYC

with your group.

Individual #1 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #2 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #3 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #4 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #5 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual Registration List Use this form to collect the names and information of those attending the QCYC

with your group.

Individual #6 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #7 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #8 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #9 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #10 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual Registration List Use this form to collect the names and information of those attending the QCYC

with your group.

Individual #11 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #12 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #13 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #14 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #15 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual Registration List Use this form to collect the names and information of those attending the QCYC

with your group.

Individual #16 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #17 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #18 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #19 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #20 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual Registration List Use this form to collect the names and information of those attending the QCYC

with your group.

Individual #21 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #22 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #23 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL

Individual #24 PAYMENT: First Name: ________________________ Last Name: ________________________

Gender: ❍ Female ❍ Male Registering As: ❍ Teen ❍ Sponsor

Spring 2019 Grade: ❍ 6 ❍ 7 ❍ 8 ❍ 9 ❍ 10 ❍ 11 ❍ 12

T-Shirt Size: ❍ S ❍ M ❍ L ❍ XL ❍ 2XL