HASSRA Falkirk Quiz Night 1 2020
1. Event sign-up
HASSRA Falkirk are holding a Quiz Night at the Adrian Bowling Club on Friday 27th March.

Entry is open to teams of 2-5 people, and is £2 per member, and £4 per non-member.

There is a cash prize of £50 for the winning team. 

Please complete the form with details of your team.
 
Team Captain

1. What is your name? *

 

2. What is your work email address? *

 

3. What is your mobile number (for emergency use only)? *

 

4. What is your HASSRA Membership Number (put n/a if you are not a HASSRA member)?

 
If you do not know your HASSRA membership number, you can view your membership number online.
Team Member 1

5. What is your name?

 

6. What is your work email address?

 

7. What is your HASSRA Membership Number (if known)?

 
Team Member 2 (Optional)

8. What is your name?

 

9. What is your work email address?

 

10. What is your HASSRA Membership Number (if known)?

 
Team Member 3 (Optional)

11. What is your name?

 

12. What is your work email address?

 

13. What is your HASSRA Membership Number (if known)?

 
Team Member 4 (Optional)

14. What is your name?

 

15. What is your work email address?

 

16. What is your HASSRA Membership Number (if known)?

 

17. Do any of your team have special dietary or access requirements?

 
Please note that tickets are first-come, first-served, limited to a total of 6 tickets per member.

Once we confirm your booking, the payment of £20 per ticket (£1 for U18s) will be required by Friday 12th of July.

We now accept electronic payments - account details will be provided with the booking confirmation.