EMR Paintball Park Event Registration Form - PASS HOLDER
PLEASE LIST ALL NAMES IN ALPHABETICAL ORDER BY LAST NAME
DO NOT FILL OUT AND SEND IF PAST THE PREREG DATE FOR THE EVENT!

Event: Event Date: Team Name:

Contact Information: First Name: Last Name:

Address:

Phone: ()-

City:   ST:   Zip:

Email:

Registration will be filed under team name. If no team name is available, it will be filed under the contact name.

Players First Name

Players Last Name

Needs Rental

1)

2)

3)

4)

5)

6)

7)

8)

9)

10)

11)

12)

13)

14)

15)

Bunkhouses
*Check here if you have 15 or more people for a bunkhouse. Preferred Bunkhouse #: $50 Deposit required.
*Check here if you have less than 15 people for bunkhouse space

�No deposit necessary but may have to share bunkhouse with other players. �
*Check here for a campsite. Campsite #:$20 Deposit required.

Deposit is refunded if BH/CS is Clean, Undamaged, and Rules Followed!
All campsite and bunkhouse refunds must be taken care of at the event that they are used for. Failure to check out with EMR staff before leaving event will result in loss of your refund. No Exceptions. Thank you.
If you wish to Rent your own Sani-Pot, contact Yvonne at (888) 775-3693.
Comments:

CASTLE CONQUEST ONLY:
DEFENDERS: First Pre-Reg, First Get basis. Must check in by 10:00 am of game or you will be dropped off the Defenders List!
Big Games/Scenarios:
Side Preferred:
Special Roles:

EventEvt. DatePreReg PricePreReg Date
March Meltdown03/27/10$2003/12/10
Castle Conquest04/24/10Sat. $35 Wknd $5004/09/10
Western Wars06/26/10$4506/11/10
Pumper's Pand07/17/10$4007/02/10
Extravaganza08/14/10$5007/30/10
Castle Conquest09/25/10Sat. $35 Wknd $5009/10/10
Toys for Tots11/06/10$2010/22/10

$5 Per Case Discount if Prepaid

# Cases

Price

Total

Bunkhouse Deposit:

Campsite Deposit:

TOYS for TOTS DEPOSIT $20:

$

Making a Deposit?

If YES, you must check the below box before submitting the form!

ABSOLUTELY NO REFUNDS WILL BE GIVEN ON PRE-REGISTRATION!!

AFTER PAYING - MAKE SURE TO HIT CONTINUE - ELSE YOUR REGISTRATION WILL NOT BE SUBMITTED!

Check #_____ Check Name ________

MO____      Cash____


SATURDAY PLAY ONLY_____

WEEKEND PLAY_____

FIELD PAINT ONLY!
NO PERSONAL FILL STATIONS!