Indicate how many people you are registering * I am registering myself and will submit the registration fee with this form I am registering myself and one other person. I will submit the registration fee with this form I am registering myself and two other people. I will submit the registration fee with this form I am registering myself and three other people. I will submit the registration fee with this form Note: The regular rate registration fee is $180 per person, and the discounted rate for students and professionals aged 18-30 is $140. Personal InformationIf you are registering more than one person, please type in your personal information and then proceed to "Player 2," "Player 3," and "Player 4" to add theirs. First Name * Last Name * Address * City * Province * Postal Code * Phone Number * Email * Player 2 First Name Last Name Address City Province Postal Code Phone Number Email Player 3 First Name Last Name Address City Province Postal Code Phone Number Email Player 4 First Name Last Name Address City Province Postal Code Phone Number Email I would like to be on a team with the following people (if you aren't registering them on this form). Indicate up to three others Please indicate how you are paying your registration fee * I will mail a cheque made payable to MCC Manitoba and send it to 134 Plaza Drive, Winnipeg, MB, R3T 5K9 attention Simone Thiessen. I will make an online payment by credit card. Leave this field blank