2018 CHA Trivia Night Sign Up Form
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4TH ANNUAL TRIVIA NIGHT & SILENT AUCTION
THIS IS OUR ANNUAL CLUB WIDE FUNDRAISER
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Grab a babysitter and register to join us at Chesterfield Hockey’s 4th annual Adult Trivia Night and Silent Auction. Invite your family, friends and neighbors to be a part of this FUN night of challenging and amusing battles of wit and will. To sign-up, complete the rest of this form which will register you and provide payment options.

WHEN & WHERE
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Saturday, November 10, 2018 at Elite Performance
17363 Edison Ave, Chesterfield Valley 63005

Doors open at 6:30 pm for viewing silent auction items and socializing. The 10 rounds of trivia will begin at 7:30 pm.

COST
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Registration is $30 per person ($60 per couple) Beer, wine, soda and water is included. Participants may bring their own snacks/appetizers or any additional drinks.

THEME
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80's Night! Bring out your big mall hair, stretch-stirrup pants, leg warmers, fingerless gloves, shoulder pads, parachute pants, huge earrings, members only jackets, and more. Awards will be given for best mall hair & best outfit

We encourage you to dress the part too!

Prizes will be awarded!

GAMES
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2 mini games, Mulligans (1 free answer for 8 rounds, 8 per table max), 50/50 raffle.

VIP PACKAGES
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LIMITED NUMBER OF VIP TABLES AVAILABLE. Upgrade your table of 10 to VIP Status for additional $200/table.

VIP PACKAGE INCLUDES: Use of iPad for one round to Google search for answers, Free admission to 2 mini games,
extra mulligan’s, food and wine on your table provided by club, and front row seating.

Please contact Kristin Falke-Miller with any questions
kristin.falke-miller@chesterfieldhockey.com
314-517-7220

What is your First & Last Name? *
Your answer
What is your email address? *
Your answer
What is your phone number? *
Your answer
What team is your kid currently on? (Coach name and level or NA). *
Your answer
Do you have a full table of 10? *
If no, how many do you need? Or do you need placed on another table? *
Your answer
Is your group upgrading to the VIP package? (It's $200 per table). This is a limited offering. *
Our preferred method of payment is by check. Are you able to mail a check to: CHA: Trivia Night P.O. Box 335 Chesterfield, MO 63006 OR deposit one into the mailbox at the Pacific rink? *
Is there anything else you want to tell us?
Your answer
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