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: ___/___/_____