Humana Team Registration

University Name(Required)

Team Name(Required)

Team Captain Name(Required)

First Last

Team Captain Phone(Required)

Team Captain Email(Required)

Enter Email Confirm Email

List the Team Members(Required)

Name

Click the + sign to add a new team member to the list.
Please Note: Please list each team member that isn't the captain, as its own list item. Each team must have between 2-4 teammates including the team captain.

• Teams of 2 (Team Captain +1)
• Teams of 3 (Team Captain +2)
• Teams of 4 (Team Captain +3)