Boobylicious Trivia Registration Form

your name*:
your email*:
your phone:
your team name (if you want one!):
names of others who will be accompanying you:
how did you hear about this event?:
  
  1. this is a pre-registration for trivia at hubert's on march 22, to ensure you get a reserved table. we cannot guarantee that those without a reservation will be admitted.
  2. payment will be collected at the door. the cost is $5 per person.
  3. all proceeds from this fundraiser benefit susan g komen for the cure, and will be added to team boobylicious' campaign.
  4. if you have any questions, please email us at 3day@plinko.net.