Wayne Dollack Scenario Registration Form

Credit Card Payment via PAYPAL

REMEMBER... CASH or CREDIT CARDS ONLY at the event
Please send your entry form by the July 7th deadline!

All registrations will be filed by Team Name. Team members may register separately.

To keep the lines shorter at the game,please have the Team Captain be responsible for the entire group.

A team may consist of 1 to 100 players... and you don't need a whole group to register.

Please complete ALL fields! Click on "Submit" when ready to send.

Team Name:
Captain's Name:
Your Name:
Email Address:
Phone Number:	(with area code)
Street Address:
City:
State:
Zip:

In an effort to properly balance teams please answer the following questions.

How long have you played paintball?

How many scenarios have you played?

What day(s) are you registering for ?

Billing

How many members are you paying for at this time ?

a $10 Entry Fee will be charged for each member registering for Saturday or Sunday.
a $20 Entry Fee will be charged for each member registering for both days.

Remember you will receive a $10 Air Card for each $10 Entry Fee

Please list the FIRST & LAST names of all EXTRA team members being paid for at this time.

How many cases of paint are you pre-paying for at this time?

$75.00 will be charged for each case.
(enter "0" if zero cases are desired)

Comments?

Anyone who fails to show up for play forfeits his registration fee. No refunds will be given.

Only press submit one time please.

Credit Card Payment via PAYPAL

REMEMBER... CASH or CREDIT CARDS ONLY at the event
Please send your entry form by the July 7th deadline!

All registrations will be filed by Team Name. Team members may register separately.

Team Name:

Captain's Name:

Your Name:

Email Address:

Phone Number:

(with area code)

Street Address:

City:

State:

Zip:

In an effort to properly balance teams please answer the following questions.

How long have you played paintball?

How many scenarios have you played?

What day(s) are you registering for ?

Billing

How many members are you paying for at this time ?

Please list the FIRST & LAST names of all EXTRA team members being paid for at this time.

How many cases of paint are you pre-paying for at this time?

Anyone who fails to show up for play forfeits his registration fee. No refunds will be given.

Thank you,

Wayne and Jackie Dollack

Credit Card Payment via PAYPAL

REMEMBER... CASH or CREDIT CARDS ONLY at the event Please send your entry form by the July 7th deadline! All registrations will be filed by Team Name. Team members may register separately.

Team Name:

Captain's Name:

Your Name:

Email Address:

Phone Number:

(with area code)

Street Address:

City:

State:

Zip:

In an effort to properly balance teams please answer the following questions.

How long have you played paintball?

How many scenarios have you played?

What day(s) are you registering for ?

Billing

How many members are you paying for at this time ?

Please list the FIRST & LAST names of all EXTRA team members being paid for at this time.

How many cases of paint are you pre-paying for at this time?

Anyone who fails to show up for play forfeits his registration fee. No refunds will be given.

Thank you,

Wayne and Jackie Dollack

REMEMBER... CASH or CREDIT CARDS ONLY at the event
Please send your entry form by the July 7th deadline!

All registrations will be filed by Team Name. Team members may register separately.