Team Registration - Indiana SWAT Challenge 2023

***Registration fee is $325. Includes Challenge T-shirts for your team.***

Agency Name

Agency Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Agency Phone

(###)

###

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Member #1/Team Leader

First Name

Last Name

T-Shirt Size

Member #2 Name

First Name

Last Name

T-Shirt Size

Member #3 Name

First Name

Last Name

T-Shirt Size

Member #4 Name

First Name

Last Name

T-Shirt Size

Member #5 Name

First Name

Last Name

T-Shirt Size

Member #6 Name

First Name

Last Name

T-Shirt Size

Department or Business to be invoiced if different from above (if same put N/A)

Invoiced Party Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Invoiced Party Email Address

Invoiced Party Phone Number

(###)

###

####