New Customer Registration Form

Hooper Details:

Full Name*

First NameLast Name

Event Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

E-mail

example@example.com

How did you hear about us?*

Please Specify*

Appointment*

Please describe your event:

Event Options

2 Hours2 hours of unlimited game play

$300.00 Quantity

Additional HourAdditional hour of unlimited game play

$100.00 Quantity

DepositOnly required if you are not paying the full amount upfront. This reserves your event date and will be applied toward your total balance.

$150.00 Quantity

All-Day Event Up to 10 hours (including delivery, set-up, and tear-down)

$1,000.00 Quantity

Corporate EventPlease email us at info@hooplasvegas.com for a quote.To reserve your date, simply select this option and pay the deposit.

$ Free Quantity

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Promo Code (Optional)

Veterans Week Special!
You’ve unlocked 25% OFF your booking as part of our Veterans Day offer.
We’ll apply the discount to your quote automatically.
Offer valid Nov 11–17. Thank you for your service 🇺🇸

Will you be willing to recommend us?

YesNoMaybe

Please give reference of any two people whom you feel would love this experience!

	Full Name	Address	Contact Number
1
2

New Customer Registration and Payment Form

Payment Methods