Individual Registration

Please enter information in the form below to process registration for event Gaza Charitable Cricket Tournament.

First Name *

Last Name *

Email *

Phone *

City *

State *

Team Member Age *

Team Name (new team) OR Team Captain Name (existing team) *

By checking this box, I certify that I have read the important information above and release all liability. *

I agree

Coupon

Amount

Discount Amount

Gross Amount

Payment Method *

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Credit or debit card*

	Address: 11137 Frisco St, Frisco TX 75033
	Phone: (469) 252-4532
	Email: contact@friscomasjid.org
	EIN: 20-8679388