Welcome to DarkLAN 2010

DarkLAN 2010 Application

1. Real Name (First + Last):

2. Counter-Strike Handle:

3. Age:

4. Permanent Address:

5. Valid (preferred) e-mail address:

6. Contact Number(s):

7. Emergency Contact Numbers:

8. Check events you are interested in attending outside of the LAN?
Bowling	Poker Tournament CornHole
Disc Golf	Other (list in Comments)
9. Would you like the names and numbers of local hotels instead of sleeping for free at the LAN site?

10. What size T-Shirt would you like with your CS handle and name on it.

11. If you are carpooling with someone, list their Counter-Strike Handle:

12. Payment Type:

12a. Email address to send $80 Paypal invoice:

15. Comments
Thank you for your interest in DarkLAN 2010! If you are a member of the Dark Clan, your application is pre-approved! All others will require a review of their application and will be e-mailed with acceptance or decline. All those accepted will be directed via e-mail to the next step of the registration process. We are limiting this year’s LAN to 40 people, so apply quickly and reserve your spot! -The Elite 5 *Information provided will not be shared with anyone other then the Elite 5