Registration & guardian

Irmo, SC — 2016 Stars and Stripes Independent Contractor Registration. Enter participant details, then continue.

1 Registration

Complete Registration Form

$0.00

2 Player Information

Areas Of Interest:

State Director Skill Testing

Area Director Skill Testing

Skill Tester

Coach

Instructor

State Director Specific Sport

Area Director Specific Sport

Sports Performance Professional

Team Director

General Manager

Event Host

College Scout

First name:

Last name:

Email:

Phone:

Please provide physical address that is accurate and where you can receive shipments

Mailing Street:

Mailing City:

Mailing State:

Mailing Zip Code:

Bio::

Additional Comments:

Company Name:

Company Website if one:

Tax ID if Company To Be Paid or SSN if getting paid as individual:

State You Represent:

Area/City You Represent:

Photo To use:

Order Summary

Event cost $0.00

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