Must contact EMR before submitting deposit to insure the availability of your preferred date!

                 All Information Spaces with a * must be filled in to proceed in booking a Private Group!

Contact Information:* Name:

Day Phone:

*Address:

*Evening Phone:

*City:  * ST:   *Zip:

*Email:

*Group Name:    *Group Date:    *# of Players:    *# of Rentals:   

*Start Time:    *End Time:    Groups that do not show up within 1 Hour of Marked Start Time without contacting EMR will Forfeit Deposit and the Assigned Refs will be sent home and the Group Cancelled.

HOW DID YOU HEAR ABOUT EMR? Friend: Magazine: Spiedie Fest: College: Radio: Store: Field: Other:
Planning on Overnight Stay? Yes:   No:Which night(s) are you planning on staying?
Do you want to Camp or use a Bunkhouse(s)? A Refundable Deposit of $20 for a Campsite and $50 for a Bunkhouse is required at time of Registration.  It will be returned at the end of your stay if the Bunkhouse/Campsite is clean and no damage.

                   Do you want wood for a Fire? Yes:   No:
Do you plan on playing a second day? Yes:   No: If Yes, What time do you wish to start?   End?
$200 DEPOSIT is Required for Groups of 10 to 24 Players. $400 DEPOSIT is Required for Groups of 24 to 49 Players.

$800 DEPOSIT Required for Groups of 50 or more Players. Deposits are applied towards Group Pricing upon arrival.
GROUP DEPOSIT Enclosed: $200:$400:$800:Other: 
CAMPSITE $20: BUNKHOUSE $50: TOTAL:$ 
PRIVATE GROUP PRICING is as FOLLOWS:  ADD $10 ($9.45 plus $ .55 PA Sales Tax) for SECOND DAY OF PLAY!

*10 to 24 Players

$40.00 Each ($37.75 plus $2.25 PA Sales Tax) 8 Hour Play and 500 Paintballs

**25 to 49 Players

$30.00 Each ($28.30 plus $1.70 PA Sales Tax) 8 Hour Play and 500 Paintballs

***50 or more Players

$30.00 Each ($28.30 plus $1.70 PA Sales Tax) 8 Hour play and 500 Paintballs

Birthday Special 10+

$20.00 Each ($18.86 plus $1.14 PA Sales Tax) 2 Hour Play and 200 Paintballs

*All Prices except Birthday Special include Per Person: All Day Play on a Variety of Playing Fields from 10:00am to 6:00pm, Group run by EMR Safety Trained Ref, 500 Paintballs, Tippmann Semi-Auto Paintball Marker, Mask/Goggles, Unlimited CO2 & Comp/Air.
**Price includes:   The above package plus the Organizer gets the above listed Package FREE and an additional 1500 PAINTBALLS.
***Price includes: The above package plus the Organizer gets the above listed Package FREE and an additional 3500 PAINTBALLS.
 IF PAYING for the PRIVATE GROUP REGISTRATION by a PERSONAL or BUSINESS CHECK, the CHECK MUST BE RECEIVED at LEAST TWO WEEKS in ADVANCE of the PLAY DATE! If paying for a Private Group Registration within two weeks of Scheduled Play Date,it must be paid for with either Paypal, Credit Card, Cash, Money Order, or Certified Bank Check.
You must check the below box before submitting the form!

ABSOLUTELY NO REFUNDS GIVEN ON PRE-REGISTRATION!!  If you need to cancel for your Scheduled Play Date, you must contact EMR at least 24 Hours before your Scheduled Start Time or the DEPOSIT WILL BE FORFEITED.  If you do contact EMR at least 24 hours in advance, the deposit will be held for another date and you may reschedule your Group Play Date.

AFTER PAYING - MAKE SURE TO HIT CONTINUE –OR ELSE YOUR REGISTRATION WILL NOT BE SUBMITTED!
Comments:
ALL PLAYERS UNDER 18 YEARS OLD MUST HAVE THE EMR LIABILITY WAIVER AND THE MEDICAL RELEASE SECTION COMPLETELY FILLED OUT AND SIGNED BY A PARENT TO PLAY!  NO EXCEPTIONS!

FIELD PAINT ONLY! NO PERSONAL FILL STATIONS!

EMR Paintball Park, Rt. 706 & 601, PO Box 728, New Milford, PA 18834  (570) 465-9622  EMRPB@epix.net