The last day to register and pay is Sunday, October 5!!!

Name of Participant

First Name

Last Name

Date of Birth

MM

DD

YYYY

Participant Phone

(###)

###

####

Email

Name of Parent

First Name

Last Name

Parent Phone

(###)

###

####

Hoodie Size

Payment of $60 is due no later than October 5!

Pay using check, cash, or
Cash App: $UGBCTeens