2025 BATTLE OF THE AGENCIES TEAM ROSTER FORM PAGE 3

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

NO EXTENSIONS!

Team Name

District

Team Member #21

Last Name/First Name

Email Address

Gender

Employee Number

Team Member #22

Last Name/First Name

Email Address

Gender

Employee Number

Team Member #23

Last Name/First Name

Email Address

Gender

Employee Number

Team Member #24

Last Name/First Name

Email Address

Gender

Employee Number

Team Member #25

Last Name/First Name

Email Address

Gender

Employee Number

Alternatives

Alternates: (You must list a minimum of 3-5 alternates. These will be the only individuals who can replace an original team member)

Alternate #1

Last Name/First Name (Alternate 1)

Email Address

Gender

Employee Number

Alternate #2

Last Name/First Name (Alternate 2)

Email Address

Gender

Employee Number

Alternate #3

Last Name/First Name (Alternate 3)

Email Address

Gender

Employee Number

Alternate #4

Last Name/First Name (Alternate 4)

Email Address

Gender

Employee Number

Alternate #5

Last Name/First Name (Alternate 5)

Email Address

Gender

Employee Number