2004 LEAGUE REGISTRATION FORM

  NAME

ADDRESS

TOWN

STATE

ZIP CODE

PHONE

TEAM NAME

CAPTAIN'S INFO

EVENT DATE

FULL PACKAGE

EMAIL

EXPERIENCE

PAYMENT

PAYMENT METHOD

CARDHOLDER INFO

CARD NUMBER

EXPIRATION

CREDIT CARD INFO

  NAME

ADDRESS

TOWN

STATE

ZIP CODE

PHONE

ALL INFORMATION CORRECT? PRINT IT!

Please mail or bring completed form and choice of payment to

Paintball Arena, 400 Patton Avenue, West Babylon, NY 11704. 

Please remember that teams are not officially registered until entrance is paid.  First come basis.  Paintball Arena does not accept online email registration at this time out of concern for the security of your credit card information.

Team captain or representative should complete the following form, then mail or bring to Paintball Arena.  All players must also sign waiver prior to play.  Players under 18 years of age need signed parental / guardian consent.

All novie and rookie teams will compete as same class in Triple Shot League.  young Guns players must be 14 and under.

TRIPLE SHOT SPRING 2004YOUNG GUNS SPRING 2004

rookienoviceyoung guns

$240. TRIPLE SHOT FULL LEAGUE$180. YOUNG GUNS FULL LEAGUE

CASHVISAMASTERCARDAMEXDINERSDISCOVER

JANUARYFEBRUARYMARCHAPRILMAYJUNEJULYAUGUSTSEPTEMBEROCTOBERNOVEMBERDECEMBER

200420052006200720082009