Registration Form

The Exchange Club Family Skills Center’s

Strike Out Child Abuse

March 29, 2008
Noon-2:00p.m.

*****Forms are due by March 8, 2008*****
*****Limit five people per team*****

1. _________________________________ (Team Captain)

 

2. _________________________________

 

3. _________________________________

 

4. _________________________________

 

5. _________________________________
 

Company/Organization  ___________________________________

Contact phone number ____________________________________

Contact email ___________________________________________


Please fax this form to (205) 801-6040
or contact the office at (205) 801-5151. 
Forms must be submitted by March 8^th.