Event Registration

Registration for Fireman's Blast Tournament

Name

E-mail

Phone Number (digits only, no dashes):

Number of Team Members:

Four (Names Included) $260

Three (add one to my team) $195

Two (add two to my team) $130

One (add me to another team) $65

Name (2nd team member):

Name (3rd team member):

Name (4th team member):

Please remit fee to:

Birds and Clays

11471 Hwy 131

Washburn, TN 37888

Make Checks Payable to: Washburn Volunteer Fire Dept.