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 Indicates Required Field
 
Team Name
 
 
Divison:
 
 
Preferred Night (not guaranteed):
 
 
Team Captain's First Name:
 
 
Team Captain's Last Name:
 
 
Team Captain's Address:
 
 
Team Captain's Home Phone:
 
000-000-0000
 
Team Captain's Work Phone:
 
000-000-0000
 
 
Team Captain's Cell Phone:
 
000-000-0000
 
Team Captain's Email Address:
 
 
Team captain is a:
 
 
Alternative Contact First Name:
 
 
Alternative Contact Last Name:
 
 
Alternative Contact Address:
 
 
Alternative Contact Home Phone:
 
000-000-0000
 
Alternative Contact Work Phone:
 
000-000-0000
 
 
Alternative Contact Cell Phone:
 
000-000-0000
 
Alternative Contact Email Address:
 
 
Alternative Contact is a:
 
 

After clicking on the Submit button below, you will be directed to our online registration web site where you will pay by credit card for the UMHL. You will need your Login ID and PIN.

Once you have logged in, please click the Programs tab and search for Barcode Numbers 9978 and 9977.