Chapter/Lodge Name

Dodgeball Team Name (ex. Tigers)

Chapter Advisors Attending

2017 Dodgeball for Dyslexia Registration Form

Name T-Shirt Size

Please fill out a separate form for each team your group enters into the tournament. Each team must have a different and unique “Dodgeball Team Name” for easy identification. Thank you for your participation and we look forward to seeing you on May 13, 2017 at Spooky Nook Sports Complex. Good luck!