TWILIGHT GAMES: GREENVILLE LARP
PERSONAL INFORMATION FORM
Name: _______________________________________________________
Date of Birth: ___/___/_____ Phone #: ( ) ____ - ______
Mailing Address: ____________________________________________
City: _______________________ State: ___ ZIP Code: __________
Email Address: ______________________________________________
Emergency Contact #1: _______________________________________
Relation: _________________ Phone #: ( ) ____ - ______
Emergency Contact #2: _______________________________________
Relation: _________________ Phone #: ( ) ____ - ______
Allergies, medical conditions, and special considerations:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
I attest that the above supplied information is correct and complete. I understand that supplying Twilight Games: Greenville LARP with false information on this form will result in my ejection from their bimonthly LARP meetings. I also understand that the information supplied to the staff of Twilight Games: Greenville LARP on this form remains private and will in no way be used for anything other than emergency purposes or to inform me of upcoming Twilight Games: Greenville LARP events or developments.
Signed: _______________________________ Date: ___/___/_____
GL/TG Staff member: ___________________ Date: ___/___/_____