Puzzle Palooza Registration Form

Puzzle Palooza Registration Form

Blue Grass Library, March 3-14th
Team Name:
Team Member #1:*

First NameLast Name
Team Member #2:*

First NameLast Name
Email Address (for at least one member):*
example@example.com
Phone Number (for at least one member): *
Please enter a valid phone number. We may text details & reminders. Format: (000) 000-0000.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
ATTENTION!!

FRIDAY - 3/6, SATURDAY - 3/7,

& THURSDAY - 3/12

ARE NOW FULL - PLEASE DO NOT SELECT THESE DATES
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
We can accomodate up to 3 teams on the same date / timeframe.
Additional comments or special requests (optional)
Additional Information:

Additional Rules will be provided just prior to your start time. Please arrive 10-15 minutes early. Cost of competition is $10 per person / $20 per team. Cash / check will be accepted. Make checks payable to "Friends of the Blue Grass Library". Cash prizes will be awarded based on number of participants once competition concludes. All proceeds will go to the "Friends of the Blue Grass Library" for activities, events and supplies.
Should be Empty:

ATTENTION!!