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Team Registration

Thanks for registering your team for the MVP Health Care Frigid Infliction. Upon submission you should receive a personal confirmation email. Also note - this year, GMARA memberships are included in the price of registration - welcome to the club!

If you do not receive this email and see your team on the team listing within 48 hours, please contact us.

Payment should be mailed to:
GMARA
PO Box 724
Williston, VT 05495

Remember: entry fees increase on Jan 24th, register by Feb 8th to be guaranteed a shirt.

Fields marked with a * are required

Number of Teammates:*

Team of 2;
Entry Fee: $330
USARA: $16 ($8/pp)

Team of 3;
Entry Fee: $450
USARA: $24 ($8/pp)

Team Name:

Team Composition:

Team Url:

(will be linked via your team name in results and team listings)

Team Captain

Last Name:

First Name:

Date of Birth:

* (mm/dd/yyyy)

Sex:

*Male Female

eMail:

Home Phone:

()-

Work Phone:

()-

Shirt Size:

Mailing Address:

Street:	*
City:	*
State:	*
Zip:	*
Country:

Teammate #1

Last Name:

First Name:

Date of Birth:

* (mm/dd/yyyy)

Sex:

*Male Female

eMail:

Phone:

()-

Shirt Size:

Mailing Address:

Street:	*
City:	*
State:	*
Zip:	*
Country:

Teammate #2

Last Name:

First Name:

Date of Birth:

* (mm/dd/yyyy)

Sex:

*Male Female

eMail:

Phone:

()-

Shirt Size:

Mailing Address:

Street:	*
City:	*
State:	*
Zip:	*
Country:

Team Notes, Comments, Thoughts

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