Registration Form
First Name:
Last Name:
Email Address:
Rank:
Nickname:
Age:
Sex:
(Will be Checked)
City:
State:
*
*
*
*
*
*
Pool Hall:
(This needs to be the pool hall that you play at most!)
Tounament:
*
*
Female
Male
C-
C
C+
B-
B
B+
A-
A
A+
AA
AAA
Alabama
Alaska
Arizona
Arkansas
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Mind-South Open
Mid-South Shootout
Tuesday Night Ranked
Thursday Night Ranked