Brown CountyStandard Team Registration12 Person Table

Brown County

Standard Team Registration

12 Person Table

- $360 -

A Standard Team Registration - 12 Person Table receives:

One table at Bunco for Breast Cancer (seating for 12)
Event swag bags for you and your guests (12)

Today's Date*

Team Leadership

In the boxes below, please provide the Team Name you would like to be listed as. Additionally, please provide the full name of your Team Captain (or the point person for your team).

Team Name*

Team Captain Full Name*

Team Player List & Contact Information

Your registration comes with 12 players. Please provide the names and email addresses for all 12 players below. If you do not have the name of one or more of your players at this time, then please list "TBD" in that field.

Player 1 - Full Name

Player 1 - Email Address

Player 2 - Full Name

Player 2 - Email Address

Player 3 - Full Name

Player 3 - Email Address

Player 4 - Full Name

Player 4 - Email Address

Player 5 - Full Name

Player 5 - Email Address

Player 6 - Full Name

Player 6 - Email Address

Player 7 - Full Name

Player 7 - Email Address

Player 8 - Full Name

Player 8 - Email Address

Player 9 - Full Name

Player 9 - Email Address

Player 10 - Full Name

Player 10 - Email Address

Player 11 - Full Name

Player 11 - Email Address

Player 12 - Full Name

Player 12 - Email Address

Honors, Memorials & Special Requests

Please indicate if you would like to honor/memorialize a loved one(s). Additionally, we would love to know if any players at your table are breast cancer survivors. And finally, if you have any special requests, comments or questions - please enter those in the appropriate field below.

Would you like to honor/memorialize a loved one?

Select or enter value

Full name of person(s) being honored/memorialized

Are there any cancer survivors at your table?

Select or enter value

Full name(s) of breast cancer survivor(s)

Special Requests, Comments or Questions

Payment and Acknowledgement*

After you click Submit below, you will automatically be taken to our secure online payment portal.

If you are paying by cash or check, please mail your payment to:

Hendrick Medical Center Foundation

1900 Pine Street

Abilene, TX 79601

Make checks payable to The Hope Fund designated to Bunco for Breast Cancer. For questions or concerns, please contact Elizabeth Everett at 325-670-3185 or eaeverett@hendrickhealth.org.

*Your registration will not be finalized until payment is received.

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