Valley Video Games

2012 - 2013 POOL & DART LEAGUE REGISTRATION


Please fill in the registration form below to sign up for Pool or Dart Leagues.



Captain


Name:

Address:

City:

State:

Cell Phone:

Zip Code:

E-mail:


Player 2


Name:

Address:

City:

State:

Cell Phone:

Zip Code:


Player 3


Name:

Address:

City:

State:

Zip Code:

Cell Phone:

Name:


Player 4


State:

City:

Address:

Zip Code:

Cell Phone:






Personal Information is confidental and will not be given out without expessed permission!



Please only select one league night if you play more than one night, Thank You!


Select League:

Choose Dart League:

Choose Pool League:


Team Information



Are you the team Captain?


	Yes No

Team Name:

Sponsor / Location:


Please no profanity in Team names or Nicknames as these will be used in Public places.

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