KSAAA Fall Fundraiser

Trivia Night Entry Form

First name

Last name

Phone

Team Information (please list team name and team members) - only one point of contact is required per team.

If you are looking for a team to join, please note that here! If you are signing up a full team as team captain, please pay applicable fees for your team. If you are a (team of) student(s), please include your program and anticipated graduation year.

I am

Paying for myself

Paying for my full team as captain

Not paying since I am a KSAAA member!

I am paying this much for registering myself (and my teammates if applicable). Entry is complimentary for preexisting active KSAAA Core/Premium members and for new (within last 30 days) KSAAA members.

Registration is $100 per CAA and $25 per SAA. Leave blank if KSAAA member(s).

I am registering __ CAA(s)

I am registering __ SAA(s)