Refresco Grape Stomp Registration Form

Name of Team
Captain for Stomp Team or the Adult Helper for Student Stomps the person who will carry the juice.
Address of Team Captain
City of Team Captain
State of Team Captain
Zipcode of Team Captain
Cell phone of Team Captain/Student Stomp Adult
Email of Team Captain or Adult Team Manager for Student Stompers
Choice of Stomp for Cash, First Responder Stomp, Stomp for Charity, Student Stomp or Stomp for Fun

Thank you to all of our Wine & Harvest Festival Sponsors

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