Registration Directions
1. Each player must complete registration form prior to payment being made.
2. If you are a member of a squad/ scenario team please enter their name below.
3. Payment may be made with this form through Credit Card.  To use Paypal, first fill out and submit the registration form and then click on the Paypal link at the bottom of the page to make payment.  Be sure to add 3%.

Payment MUST be received two days before the day of the event.  See Events for more info.
 

Contact Information:

* First Name:

* Last Name:

Codename:

* Date of Birth:

* E-Mail:

* Address:

* City:

* State:

* Zip/Postal Code:

* Phone Number:

Team Information: If you play for a Scenario Team/ Squad please enter their information below.

Squad/ Scenario Team Name:

Home Field:

Event Information

Big Game Team:
Please choose the team you wish to play on for the Big Game

Team 1: Gladiators (Red) Team 2: Contenders (Blue)

Type of Paint Wanted:

Mid Grade ($45) High grade ($55) Half & Half (This is just an estimate, no payment required)

Approximate # of cases needed:

Gun Rental Needed:

Travel Information:  For more on camping and hotel information please contact the fields.  Please check the Event Schedule for surrounding hotels and contact info.

Camping :
By choosing "Yes" you will be contacted by the event field to reserve and pay for camping.

YES NO     Nights: Fri. Sat. Sun.

Payment: By placing my payment information in the space provided I am authorizing Valley Branch Retreat to charge accordingly for the entry fee and gun rental (if selected).

If Paying by cash or check please send money with registration form to:

Valley Branch Retreat & Paintball Valley
2620 Valley Branch Rd.
Nashville, Indiana 47448

(Payment MUST be received two days before the scheduled event.)
 

Payment Type:

Cash
Check (In-state Only)
Credit Card
*PayPal*
 $5 Handling Fee will be added for all online transactions.

Name on Credit Card:

CC Number::

Expiration Date: