Complete FORM and SUBMIT then PRINT and MAIL with your PAYMENT

   Team Name:

Team Captain:

 

          E-mail:

 

Phone Number:

 

        Address:

 

        City:   State:    Zip:
 

Team Members

1.   Captain       Age   Rank     Dept    Yrs. Of Service

 

2. Member 1      Age   Rank     Dept    Yrs. Of Service

 

3. Member 2      Age   Rank     Dept     Yrs. Of Service

 

4. Member 3       Age   Rank     Dept    Yrs. Of Service

 

5. Member 4       Age   Rank     Dept     Yrs. Of Service

(member 4 is optional team average is determined by the top 4 best scores)

 

$25.00 for Individuals or $100.00 for a team of 5

Check Or Money Order to:

Fire Fest Texas

c/o Firefighter Challenge 08

PO Box 1159

Buda, Texas 78610

 

For Additional Information

e-mail FireFighterChallenge@firefesttexas.com