| Name of Team: |
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| Organization or Residence Hall Affiliation: |
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Number of Team Participants: There is a minimum of five (5) participants per team |
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| Team Service Hour Goal: |
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| Name of Team Captain: |
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| Team Captain's Cell phone Number: |
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| Team Captain's E-Mail: |
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Names of your team members: (Please list all participants and separate names with commas.) |
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E-Mail address of your team members: (List complete e-mail addresses for all participants. Separate names with commas.) |
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| How many t-shirts do you need |
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| Size SMALL: |
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| Size MEDIUM: |
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| Size LARGE: |
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| Size EXTRA-LARGE: |
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Please contact apete2@luc.edu if you have questions or problems with this form. |