MailChimp Tag / Form Name
Memo
Notes to internal Federation professionals
Please select a two-hour time slot from the list below
Your Information
Name
*
First Name
Last Name
Email
*
Confirmation Email
Confirm email address
Mobile phone
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Guest Information
Please provide contact information for the other 3 players at your table
Player #2 Name
First Name
Last Name
Player #2 Email
Confirmation Email
Confirm email address
Player #2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Player #3 Name
First Name
Last Name
Player #3 Email
Confirmation Email
Confirm email address
Player #3 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Player #4 Name
First Name
Last Name
Player #4 Email
Confirmation Email
Confirm email address
Player #4 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about this event?
Email invitation
Social media
Word of mouth
Other
SUBMIT
Should be Empty: