Join The Raiders Dads Club Registration 1Info2Children3Dues4Payment Name* First Last Email Address* Phone Number*Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please let us know your children's names so we can make sure your donation is credited appropriately. Child Name 1 First Last Child Name 2 First Last Child Name 3 First Last While the recommended donation is $175 per child, we appreciate any donation. Recommended Donation Per Child Price: Number of Children*Please enter a number from 0 to 6.Please enter the number of children in the "Quantity" field.Other Donation Total Donation: $0.00 Please double check your total donation amount before submitting your orderTotal $0.00 Credit CardCard Details Cardholder Name
