CHOOSE how you would like to participate:

ENTER the FIRST NAME and LAST NAME of every participant:

  TEAM 1

Player 1:  
Player 2:  
Player 3:  
Player 4:  

  TEAM 2

Player 5:  
Player 6:  
Player 7:  
Player 8:  

ENTER your contact information:

First Name:  
     Last Name:  
Address 1:  
Address 2:  
State:      Zip Code:  
Phone #:  

If you are paying with CASH or a CHECK, SKIP filling out this next section and PROCEED to the instructions below.
If you are paying with a CREDIT/DEBIT CARD, FILL OUT the information below:
Name on Card:  
Card Number:  
Expiration Date:  
Type of Card:  


MAIL all other payments to:

Christina Baglas
Gaucho Fund Director
UC Santa Barbara
Athletics Department
Santa Barbara, CA 93106-5200

If you have any questions regarding this registration, contact Christina Baglas at:

Phone: (805) 893 - 5372
Fax: (805) 893 - 5477



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