WEEKLY GAME NIGHT REGISTRATION FORM PLEASE COMPLETE THIS FORM EACH WEEK IN ORDER TO RESERVE YOUR SPOT FOR THE NEXT GAME NIGHT! Participant's Name * First Name Last Name Date of Birth * MM DD YYYY Primary Phone Number * (###) ### #### Contact Email * Please select next the date you plan to attend the LWA Game Night! * You can select any Thursday starting on 1/02/25. MM DD YYYY Payment Awareness * I understand that I am registering to attend the LWA Game Night on the date I selected above. I agree to be charged $10 to the card on file to hold my spot and attend this event. I understand that this is a one-time charge/reservation, and that I must complete this form each week to reserve my game night spot. If there are no spots available for this event, I understand that I will not be charged and LWA will contact me about the next available Game Night! ASAP REGISTRATION AGREEMENT * I agree that I have completed the ASAP Registration form that can be found at www.lwallcorg.com/asap. (If you have not yet completed this form, please do so before submitting this current form! You only need to complete that form one time.) Thank you! We will see you at the next Game Night!(We will email or text you if our spots are full for the week and you will get priority for the next game night!)