Brain Games XX Registration
Team and Individual Registration for Brain Games XX on April 2, 2017 from 1 to 4 p.m. at James Rumsey Vocational Institute, off I-81 Exit 16 towards Hedgesville, WV.
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What is your email address? *
What is the best phone number at which to reach you? *
Are you registering a team or as an individual who wishes to be placed on a team? *
If you are registering a team, what is the team name?
If your team is affiliated with an organization, please enter name of the organization below:
Teams may consist of 3 to 6 members. List all the members of the team including yourself:
If you are registering as an individual, what is your name?
Registration is $25 per person. How will you be paying for your registration? *
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