Quizgiving • LEAD

Early Registration Discount!

Quizgiving Trivia Night Sign-Up Form

Name

Street Address

City

State

ZIP

Registration Options

Ticket price is ~~$50/person or $350 for a Team of 8.~~
Ticket Price is $45/person or $315 for a Team of 8 until November 5th.
(Discount will be applied at end of Form.)

Which of the following best applies to you?*

Registration Options Selection

Excellent! Please enter the Team Captain's Name below. This will allow us to keep the whole Team tied together if there are multiple, separate registrations.

Team Captain's Name

Individual Registrations

Please select the number of people you are registering in this form, including yourself. If you are registering a team, your team members can register and pay for their tickets themselves as long as they provide the same "Team Captain Name" as is on this form.

For those members registering without a team, we will place you on one with available slots.

Number Registering

Team Member Roster

Team Member Name 1

Team Member Email 1

Team Member Name 2

Team Member Email 2

Team Member Name 3

Team Member Email 3

Team Member Name 4

Team Member Email 4

Team Member Name 5

Team Member Email 5

Team Member Name 6

Team Member Email 6

Team Member Name 7

Team Member Email 7

Team Member Name 8

Team Member Email 8

Are you willing to accept free agents on your team to fill any vacancies?

Fill Vacancies?

Sure. No.

Optional Tax-Deductible Donation to LEAD

If you would like to make a donation to LEAD while you're at it, any contribution big or small would be greatly appreciated.

Note: No $ sign necessary. Just the number, however large or small. 😉

Donation Amount

Matching Funds

Company Name

Company Address

Total Trivia + Donation

Stripe

That's it! Click the link below to make your payment and register for Quizgiving!

Early Registration Discount!

Registration Options

Optional Tax-Deductible Donation to LEAD

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