Registration Form

Registration for Lobsterpolluza is now closed. To get on the wait list, please send an email with Wait List in the subject line to lobsterpolluza@gmail.com.

Register for Lobsterpolluza 2012

Please pick the event(s) for which you are registering:

~~Saturday Grass at Garland Park ($60 per Team) * 160 Total Slots~~ << Closed >>

Please specify which dinner option(s) for you, your partner and your guest(s):

Lobster Dinner ($33 per person) must order by 5/10/2012

Steak Dinner ($23 per person) must order by 5/10/2012

Surf & Turf - Lobster and Steak ($45 per person) must order by 5/10/2012

Vegetarian Dinner ($20 per person) must order by 5/10/2012

Team Information: T-shirt sizes not guaranteed when registering after May 2nd.

First Name

Last Name

Female Player:

Male Player:

Overall Team Level of Play:

Please give us your contact information:

Your Name:

First Name

Last Name

E-mail Address:

Phone Number:

Partner E-mail Address:

Partner Phone Number:

Would you like to donate to the Colorado SIDS Program instead of
- OR -
in addition to playing?

Yes

Amount: $

~~Sunday @ The Rockies ($27 per Person)~~ << Closed >>

After you click the submit button, you will be redirected to PayPal to complete the payment process.

You will receive confirmation via e-mail:
(1) from PayPal confirming your total payment
(2) from Lobsterpolluza confirming your information for:
    - the tournament (if participating)
    - the dinner (if attending)
    - the cash donation (if donating)
    - the Rockies Tickets (if attending)

Please retain a copy of all e-mail messages as receipt of your payment(s) and registration(s). Please bring to each event as proof of payment and registration.

(*) Registrations after May 17th, 2012 will be assessed a $10 late fee per tournament event.