Viperkidz sign ups through website

Viperkidz/MHB Junior Bar-Table 8-Ball Championships

Hosted at Mile High Billiards, located at 11651 W. 64th Ave., Unit B-3 Arvada, CO 80004. *Open to the first 32-players signed up first, very limited entry! Fill out form below and sign up today! For kids ages 7-19 ONLY. Have questions? Call Melissa at 720-690-5214
Participants Full Name *

First Name Last Name
Participants Age *

Ages 7-13 Race to 3 Ages 14-16 Race to 5 Ages 17-19 Race to 7
Have you played in any ViperKidz events before? *

YES NO
How did you hear about this event? *

Social Media A friend Advertisement Played before melissalittle.com/viperkidz.html Website
Did you pre-pay your entry fee through www.melissalittle.com/viperkidz.html via PayPal? *

YES NO PAY THE DAY OF EVENT
Current Address *

Street Address

Street Address Line 2

City State (CO)

Zip Code Country
Parents Email Address *
example@example.com
Parents Phone Number *

(303) 123-4567
Upload and attach parents SIGNED PHOTO RELEASE FORM
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