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Jack Attack Registration
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Jack Attack Registration
REGISTRATIONS FOR
OCTOBER 2024
JACK ATTACK COMPETITION
"
*
" indicates required fields
1
Team Details
2
Payment
Team Details
Team Name
TEAM CAPTAIN / CONTACT PERSON
*
First
Last
Phone
*
Email
*
Team members
Participant Name
Participant Phone
Participant Email
Actions
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team members.
Add team member
Maximum number of team members reached.
Payment Details
Your Name
*
Email
*
Registration Fee | $180.00
Price:
Total
Credit Card
*
Cardholder Name
Card Details
Email
This field is for validation purposes and should be left unchanged.
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