Day at the Park Field Games Team Registration - Paying by Cash or Check

Business/ Organization Name

Team Captain Name

Team Captain Job Title

Contact Information

Address

Email Address

Office Phone

Cell Phone

Team Details

Team Name

Number of People on your Team

Names of People of your Team

Payment

Cash or Check Payment

$50 Team Fee

Make checks payable to United Way of Pettis County.

Please mail or drop off payment to
United Way of Pettis County
1400 S. Limit, Suite 29
Sedalia, MO 65301

If you have any questions, please contact Rachelle Simon at rachelle.simon@spcuw.org or 660-826-2980.