Registration
Order your Smoke Worlds T-shirt today!!
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
 
Questions/Options:
How many t-shirts are you wanting for $20 each. Each size above an XL is $2 more. Your card will be charged per the number of t-shirts ordered.
Please indicate the size of each shirt
Please type the name of the Smoke athlete you would want to receive credit for the shirt.
 
Additional Information:
 
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*