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Fall Pool Online Registration

All team names will be 20 characters max which must include your sponsoring bars name

"*" indicates required fields

League Name*

Bar Name ALMA*

ALMA

Bar Name ARCADIA*

ARCADIA

Bar Name BANGOR SPARTA*

BANGOR SPARTA

Bar Name BOSCOBEL*

BOSCOBEL

Bar Name DURAND*

DURAND

Bar Name JACKSON COUNTY*

JACKSON COUNTY

Bar Name LAX COUNTY*

LA CROSSE COUNTY

Bar Name LYNDON STATION*

LYNDON STATION

Bar Name LAX CITY*

LA CROSSE CITY

Bar Name PDC*

PDC

Bar Name RICHLAND COUNTY*

RICHLAND COUNTY

Bar Name RIVER COUNTRY*

RIVER COUNTRY

Bar Name WESTBY*

WESTBY

Bar Name WINONA*

WINONA

Bar Name SUNDAY PLATTEVILLE POOL*

SUNDAY PLATTEVILLE POOL

RS Amusement Account*

Williamson Amusement Account*

Five Star Music & Games Account*

Modern Gaming Account*

Midwest Coint Account*

Leisure Time Entertainment Account*

This field is hidden when viewing the form

Deadline Passed*

Team Names (20 Characters Max)*

Captain's First & Last Name*

Captain's Nickname

Nicknames can be up to 7 characters.

Captain's Gender*

Male

Female

Captain's Address*

Street Address City State ZIP Code

Captain's Phone Number*

Captain's Email Address*

Player 2 First & Last Name*

Player 2 Nickname

Nicknames can be up to 7 characters.

Player 2 Gender*

Male

Female

Player 2 Address

Street Address City State ZIP Code

Player 2 Phone Number

Player 2 Email Address

Player 3 First & Last Name*

Player 3 Nickname

Nicknames can be up to 7 characters.

Player 3 Gender*

Male

Female

Player 3 Address

Street Address City State ZIP Code

Player 3 Phone Number

Player 3 Email Address

Player 4 First & Last Name*

Player 4 Nickname

Nicknames can be up to 7 characters.

Player 4 Gender*

Male

Female

Player 4 Address

Street Address City State ZIP Code

Player 4 Phone Number

Player 4 Email Address

Player 5 First & Last Name*

Player 5 Nickname

Nicknames can be up to 7 characters.

Player 5 Gender*

Male

Female

Player 5 Address

Street Address City State ZIP Code

Player 5 Phone Number

Player 5 Email Address

Alternate 1 First & Last Name

Alt 1 Nickname

Nicknames can be up to 7 characters.

Alt 1 Gender

Male

Female

Alt 1 Address

Street Address City State ZIP Code

Alt 1 Phone Number

Alt 1 Email Address

Alternate 2 First & Last Name

Alt 2 Nickname

Nicknames can be up to 7 characters.

Alt 2 Gender

Male

Female

Alt 2 Address

Street Address City State ZIP Code

Alt 2 Phone Number

Alt 2 Email Address

Total

Choose Payment Option*

Pay Now

Invoice Sponsor

La Crosse Sponsoring Bars*

Invoice Sponsor

Credit Card*

Card Details

Cardholder Name

Help stop SPAM

[email protected]
3172 Berlin Drive
La Crosse, WI 54601

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