Name*

Address*

StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Home Phone

Cell Phone

Email

How did you learn about WIFFLE Ball at the Academy?

What motivates you to want to have a team in this tournament?

How many players will you have on your team and what is the approximate age range of your players? (Teams need a minimum of nine players, male or female, at least 16 years of age)*

What fundraising commitment can you make on behalf of your team?*

How will you raise these funds? And how will you help further awareness for the work of the Travis Roy Foundation? Please be specific.*

Do you have any experience fundraising for charity?*
YesNo

Does your (or your teammates) company / employer have a matching gifts program?
YesNo

Which one of the following categories would you put your team in with respect to your WIFFLE Ball competitiveness*
Very limited or no experience, interested in playing “just for fun”Some or lots of experience, interested in playing “just for fun”Some experience, interested in playing competitive gamesLots of experience, interested in playing competitive gamesLots of experience, expect to have a shot at winning the tournament

I understand that the submission of this application does not guarantee me a team in the tournament.

First Name (Nominator) (required)

Last Name (required)

Your Email (required)

Phone (required)

First Name(required)

Last Name (required)

Your Email (required)

Phone (required)

What is the coach's team name and age of team?

How do you know the nominee?

Explain in 250 words or less why your nominee should be selected as a "Blue KC Coaches with Character" (required)

The nominee is willing to be included in a press release if selected (required)
[radio* radio-682 "Yes"]

The nominee lives within 75 miles of Kauffman Stadium (required)
[radio* radio-902 "Yes"]