Name *

First Name

Last Name

Phone *

Please provide a cell number, we will text you when you are up next to play!

(###)

###

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Partner Name *

First Name

Last Name

Partner Phone *

Please provide a cell number, we will text you when you are up next to play!

(###)

###

####

Have you and your partner secured Wild Corn event tickets? *

Yes!

No, but plan to purchase

No