Team Registration

Player 1 (Captain) Name *

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Last

Player 1 Phone *

Player 1 Email *

Player 2 Name

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Player 2 Phone

Player 2 Email

Player 3 Name

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Last

Player 3 Phone

Player 3 Email

Player 4 Name

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Player 4 Phone

Player 4 Email

Comment

Gilliland Foundation
P. O. Box 1600
Mocksville, NC 27028
866.445.5452
724.540.5019

The Gilliland Foundation is a not-for-profit organization corporation under Internal Revenue Code (IRC) Section 501(c)(3). Donors can deduct contributions they make under IRC Section 170.