Irish Night at SMC Registration
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1. Default Section
1
. Name of Team or Individual
Name of Team or Individual
*
2
. Please fill in your contact information below. The person whose information is listed below will be the team contact.
Please fill in your contact information below. The person whose information is listed below will be the team contact.
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Email Address:
Phone Number:
3
. If registering an entire team, list team members’ full names below (teams are limited to 8 participants). Note: You do not need a full 8 participants to make a team, but groups less than six may have to combine with outside players.
If registering an entire team, list team members’ full names below (teams are limited to 8 participants). Note: You do not need a full 8 participants to make a team, but groups less than six may have to combine with outside players.
Team member #1
Team member #2
Team member #3
Team member #4
Team member #5
Team member #6
Team member #7
Team member #8
4
. Admission is $30 per player. Please indicate number of players below:
Admission is $30 per player. Please indicate number of players below:
1
2
3
4
5
6
7
8
5
. Based on your number of players, please indicate what your payment will be below. If you register by February 22nd and you have a full team (8 players) please select the last choice as you will receive a special rate of $210.
Please note: Payment must be received by Feb. 22nd to receive the special rate of $210. Otherwise the regular registration fee will be assessed.
Based on your number of players, please indicate what your payment will be below. If you register by February 22nd and you have a full team (8 players) please select the last choice as you will receive a special rate of $210. Please note: Payment must be received by Feb. 22nd to receive the special rate of $210. Otherwise the regular registration fee will be assessed.
$30 - 1 player
$60 - 2 players
$90 - 3 players
$120 - 4 players
$150 - 5 players
$180 - 6 players
$210 - 7 players
$240 - 8 players
*I have a full team of eight and am registering by Feb. 22nd. My rate is $210*
6
. Please select your method of payment. If you are paying via check, please make check payable to "St. Mary of Carmel Catholic School" and send to the following address:
St. Mary of Carmel Catholic School
Attn: Irish Night at SMC
1716 Singleton Blvd.
Dallas, TX 75212
Please select your method of payment. If you are paying via check, please make check payable to "St. Mary of Carmel Catholic School" and send to the following address: St. Mary of Carmel Catholic School Attn: Irish Night at SMC 1716 Singleton Blvd. Dallas, TX 75212
I will send a check in the mail
I will pay in person at the school office
I will pay at the door, the night of the event
Please feel free to contact Assistant Principal Norma Nelson at norma.nelson@smcschool.org or 214.748.2934 with any further questions or concerns.
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