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Registration

If you need lodging please be sure to follow the instructions at the bottom of this form.


Team Information:

Division
Team Name:
Organization/Sponsor:
(If Applicable)

Player A Information:

Registration Fee:



Name:
Address:
City:
State:
Zip:
Phone:
Email:
Please answer each of the following questions, if applicable:
Are you a current or past member of the United States Croquet Association?

Your latest assigned USCA handicap? (Singles)
Approximately how many games of Croquet do you play per year?

Approximately how many years have you played Croquet?

Player B Information:

Registration Fee:



Name:
Address:
City:
State:
Zip:
Phone:
Email:
Please answer each of the following questions, if applicable:
Are you a current or past member of the United States Croquet Association?

Your latest assigned USCA handicap? (Singles)
Approximately how many games of Croquet do you play per year?

Approximately how many years have you played Croquet?

Payment Information:

Total Registration Fee: $
First Name:
Last Name:
Address:
City:
State:
Zip:
Card Number:
Exp. Date:
CVV Code - What is This?

Lodging Information: Click here if you will need Lodging.

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