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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
