Summer Stages Enrollment Form

Name *

First Name Last Name

Email *

example@example.com

How did you find out about Virtual Trivia? *

Facebook Instagram Email Word of Mouth

If you have multiple people joining, feel free to create your own team name!

Anything else we should know? Leave it here!

Register for Trivia Night (All times are in EST): *

Individual Trivia Nights: Wednesdays @ 8 PM

Wednesdays at 8 PM EST	Select	Price
January 6th		$ 12.00
January 13th		$ 12.00
January 20th		$ 12.00
January 27th		$ 12.00

Trivia 4-Night Package: Wednesdays @ 8 PM $ 40.00

Enter coupon

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

TERMS AND CONDITIONS

By pressing submit you acknowledge that there will be no refunds. You are agreeing to attend only the events registered and paid for by submitting this form. You and agree to respect our community guidelines around respectful behavior on Zoom, as stated in the PDF you'll receive with your welcome email.

I agree that photo and/or video content may be used for promotional purposes

Register Now!