Kansas Infant Death and SIDS Network, Inc.

Haley's 21st Annual SIDS Scramble will be held Monday, September 13, 2021 at Terradyne Country Club in Wichita, KS. Complete the form below to register. Please call the KIDS Network at 316-682-1301 with questions.

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* 1. How will you participate in Haley's SIDS Scramble

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* 2. Captain Last Name

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* 3. Captain First Name

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* 4. Company Name

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* 5. Company Address

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* 6. Email

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* 7. Phone Number

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* 8. Player 2 Name

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* 9. Player 3 Name

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* 10. Player 4 Name

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* 12. Comments/Questions

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