2025 BATTLE OF THE AGENCIES TEAM ROSTER FORM

Deadline to Submit Registration: Friday, June 27, 2025, 5:00 p.m.

NO EXTENSIONS!

Name of Agency/Department

Agency Head Full Name and Position Title

Point of Contact Full Name (Print)

Point of Contact Email Address

Team Captain Full Name (Print)

Team Captain Email Address

Team Name

District

Will your agency be merging with another agency? *Subject to approval by the BOA administrator

Yes

Which agency will you be merging with?

Team Roster

Team Member #1

Last Name/First Name

Email Address

Gender

Employee Number

Team Member #2

Last Name/First Name

Email Address

Gender

Employee Number

Team Member #3

Last Name/First Name

Email Address

Gender

Employee Number

Team Member #4

Last Name/First Name

Email Address

Gender

Employee Number

Team Member #5

Last Name/First Name

Email Address

Gender

Employee Number

Team Member #6

Last Name/First Name

Email Address

Gender

Employee Number

Team Member #7

Last Name/First Name

Email Address

Gender

Employee Number

Team Member #8

Last Name/First Name

Email Address

Gender

Employee Number

Team Member #9

Last Name/First Name

Email Address

Gender

Employee Number

Team Member #10

Last Name/First Name

Email Address

Gender

Employee Number

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