Trivia Night- January 13!
Please make sure to fill out all sections. You may need to scroll down on the form to see the payment information. Thank you!
Team Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
How many members do you expect on your team? *
(Max 4 persons)
What are the names of those on your team? *
(Please list one person per line)
Your answer
Food choice for your team *
(Choose ONLY ONE. The first 5 teams to choose a Premium Pizza AND pay ($20), will receive the premium option at NO additional charge. All others who choose this selection will be charged an additional $5.)
How did you hear about our event? *
(Please select all that apply)
Payment *
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