Team Name
*
Team Captain
*
E-mail
*
1st Team Members Name
*
First Name
Last Name
Age
*
Kiwanis Member? If yes, which group/club?
Donation Goal
*
2nd Team Members Name
*
First Name
Last Name
Age
*
Kiwanis Member? If yes, which group/club?
Donation Goal
*
3rd Team Members Name
*
First Name
Last Name
Age
*
Kiwanis Member? If yes, which group/club?
Donation Goal
*
4th Team Members Name
First Name
Last Name
Age
Kiwanis Member? If yes, which group/club?
Donation Goal
5th Team Members Name
First Name
Last Name
Age
Kiwanis Member? If yes, which group/club?
Donation Goal
Total Team Donation Goal
*
Total Lives Saved ($1.80 = 2 lives)
*
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