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Type in Team Captain Name if Known
Player 1 Name *
Player 1 Name
Player 1 Phone Number *
Player 1 Phone Number
Player 2 Name
Player 2 Name
Player 2 Phone Number
Player 2 Phone Number
Player 3 Name
Player 3 Name
Player 3 Phone Number
Player 3 Phone Number
Player 4 Name
Player 4 Name
Player 4 Phone Number
Player 4 Phone Number

Upon completing this form, you will be redirected to VRM’s secure payment portal to submit your registration fee online.