AZOC - Arizona Osteoporosis Coalition

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Hotshot Challenge 2008

Please complete this form below to register for the 2008 Hotshots Challenge.

*( Required fields)**
Registration Form
*Organization Name:
*Division:
*Payment Type:
Team Leader
*Name :
*Phone Number:
*Email:
*Address:
*City:
*State:
*Zipcode:
Other Team Members (3 total)
Name:
Name:
Name:

Cost / Donation
Cost:	$200.00
Additional Donation:
Consent
	I voluntarily participate in the Hot Shots Team Challenge and have been cleared by my physician to do so. I understand that there are some risks involved in the event. I hereby release the Arizona Osteoporosis Coalition, ASU Sun Devils Women's Basketball Team and Arizona State University from any responsibility in case of any injury incurred during the Hot Shot Event.