Home-to-Home Foundation

Caring Volunteers for Nursing Home Residents...

Player Registration

You may pre-register with just Captain's Name if you don't have all team members.

CAPTAIN Details
TEAM NAME:
Captain's Name:
Company:
Street Address:
City:	State:
Zip:
E-Mail:
Phone:
	If your team is registering as part of a GOLD or SILVER sponsorship package please note company name here:

Player 2 Details
Name:
Company:
Street Address:
City:	State:
Zip:
E-Mail:
Phone:

Player 3 Details
Name:
Company:
Street Address:
City:	State:
Zip:
E-Mail:
Phone:

Player 4 Details
Name:
Company:
Street Address:
City:	State:
Zip:
E-Mail:
Phone:
	PLEASE NOTE YOUR TEAM'S FIRST TIME PREFERENCE PLEASE NOTE YOUR TEAM'S SECOND TIME PREFERENCE Preferences are selected on a first come-first served basis. Minimum participation: $150 Please mail payment to Home-to-Home Foundation, 84 Progress Lane, Waterbury, CT 06705 or you may make your payment online after you have submitted player details. PAYMENT MUST BE RECEIVED IN ADVANCE TO RESERVE YOUR SPOT.

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