Individual Registration

Please enter information in the form below to process registration for event Battleground Shootout Dodgeball Tournament (+18).

First Name *

Last Name *

Address *

City *

Zip *

Country *

State

Phone *

Email *

Team Name *

Jersey Number

Shirt Size *

Are you over 18 *

Yes

No

Are you ok with being broadcasted on TV *

Yes

No

Comment

Payment Information

Amount

$

Payment Method

Venmo Payment

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*