Paintball Asylum, Pocono Mts., Tannersville
PERSONAL INFORMATION  
   
First Name:
Last Name:
Position/Title:
Company:
   
Street Address:
City:
State:
   
Email:
Home Phone:
Cell Phone:
Fax:
   
BOOKING DATE & TIME  
   
Preferred Date: / /
     
Start Time: 9 AM   Morning Session
2 PM   Afternoon Session
 
THE GROUP  
 
We understand that not everyone will be interested in the same package.
This part allows you to customize your specific group needs

ENTER THE NUMBER OF PEOPLE FOR EACH DESIRED PACKAGE.
   
BRONZE   at ONLY $34.95 per person
SILVER   at ONLY $39.95 per person
GOLD   at ONLY $49.95 per person
PLATINUM   at ONLY $54.95 per person

 
How did you hear about us?
   
Additional Comments/Requests:
   
PAYMENT  
   
We will shortly be able to take secure online payment; however at this time, we can only take payments via phone. Once you submit this reservation form, one of our agents will contact you to process your payment and confirm your reservation. Enjoy your event!
   
TERMS AND CONDITIONS  
   
Booking times are final. If you miss a specified time slot, you will be bumped to the next if space is available. Please arrive at least one hour before your scheduled time. This allows time for orientation and equipment rental. No Refunds/Transfers will be provided for "NO SHOWS".

By submitting this form, you indicate that you have read, and understood & agree to the booking conditions & the credit card request agreement.

Persons under the age of 18 years are required to have a Parent/Guardian complete and sign the Parent/Guardian waiver form on their behalf.