Pool League Sign up form

Pool League Sign Up Form
Bar Sponsor*
Night of the Week*
Team Name *
Team Captain*

Name

Email address

Phone NumberState / Province

Postal / Zip Code
Player*

Name

Email address

Phone NumberState / Province

Postal / Zip Code
Player

Name

Email address

Phone NumberState / Province

Postal / Zip Code
Player

Name

Email address

Phone NumberState / Province

Postal / Zip Code
Sub

Name

Email address

Phone NumberState / Province

Postal / Zip Code
Sub

Name

Email address

Phone NumberState / Province

Postal / Zip Code
Payment Method
Teams will not be added to a schdule unless fees are paid. If mailing entry in please call and let us know, mailing address 25 2nd Ave E Dickinson, ND 58601. Any other questions please call the office at 701-483-7665.
Registration Fee
Categories:All

All
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2 person registration fee $20.00

4 person registration fee $40.00

Service Fee$5.00

Total $0.00
All parts of the form including payment must be done otherwise this form will not get sent to the office.
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Pool League Sign Up Form