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 NameLast Name
Participants Age*

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

YESNO
How did you hear about this event?*

Social MediaA friendAdvertisementPlayed beforemelissalittle.com/viperkidz.html WebsiteOther
Did you pre-pay your entry fee through www.melissalittle.com/viperkidz.html via PayPal?*

YESNOPAY THE DAY OF EVENT
Current Address*

Street Address

Street Address Line 2

CityState (CO)

Zip CodeCountry
Parents Email Address*
example@example.com
Parents Phone Number*

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

Upload a File

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