JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Gamers Lounge & Internet Cafe
Customer Check In Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your name (first, last)?
[Example: Joe Smith]
*
Your answer
1 Hour = $5
All Day = $10 (store hours)
All Week = $25 (seven days)
All Month = $50 (calendar month)
How long do you want to game?
*
Choose
1 Hour ($5)
All Day ($10)
All Week ($25)
All Month ($50)
Special Price / Discount Coupon
Here w/ a Party
Free Event
Prepaid for the Week Already
Prepaid for the Month Already
Are you a new or returning customer?
New
Returning
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
Forms
This form was created inside of Siamese Cat Entertainment.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report