FutureTech Vibha Cricket Cup 2006 Online Registration

*Team Name:

*Name:

*Team Coordinator:

*Name: *Email:

Member 2:

Name: Email:

Member 3:

Name: Email:

Member 4:

Name: Email:

Member 5:

Name: Email:

Member 6:

Name: Email:

Member 7:

Name: Email:

Member 8:

Name: Email:

Contact Address:

*Contact Email:

*Contact Number:

* indicates required field

Enclose a check in favor of Vibha Inc. for the total amount ($25/person) and mail it to:
Vibha Cricket 2006, 1289 Noguchi Mews, Atlanta, GA 30318

Onbehalf of the team members listed above, I certify that the above saidteam is participating in this event with the consent of all the teammembers and that the above listed team members hereby will forever holdharmless and release all parties and persons concerned with theorganization of this event and volunteers of the event from any and allliability.
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