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 Needing Equipment:

*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.

Planning on Overnight Stay? Yes:   No: Not Available for Birthday Parties. 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.

Fire Rings are supplied, however you should bring wood with you or may purchase wood locally for campfires.
Do you plan on playing a second day? Yes:   No:
DEPOSIT REQUIRED TO BOOK PRIVATE GROUP.

4-Hour Session:*10 to 24 Players	$40.00 Each ($37.75 plus $2.25 PA Sales Tax) 4 Hours Only starting at 9:00 am or 2:00 pm	Deposit $   400.00
4-Hour Session:**25 to 49 Players	$30.00 Each ($28.30 plus $1.70 PA Sales Tax)	Deposit $   720.00
4-Hour Session:***50 or more Players	$30.00 Each ($28.30 plus $1.70 PA Sales Tax)	Deposit $1,470.00
All Day Session: *10 to 24 Players	$60.00 Each ($56.60 plus $3.40 PA Sales Tax) All Day Anytime from 9:00 am to 6:00 pm	Deposit $   600.00
All Day Session: **25 to 49 Players	$50.00 Each ($47.17 plus $2.83 PA Sales Tax)	Deposit $1,440.00
All Day Session:***50 or more Players	$50.00 Each ($47.17 plus $2.83 PA Sales Tax)	Deposit $2,940.00
Second Day Play: 4-Hours	$30.00 Each 10-24 25-49 50 or more 4 Hours Only Starting at 9:00 am	Deposit $
Second Day Play: All Day	$50.00 Each 10-24 25-49 50 or more All Day Anytime from 9:00 am to 6:00 pm	Deposit $
Birthday Special 2000 Paintballs	$250.00 for 10 to 15 Players Only for 2 Hours 2 Hours Only starting at 11:00 am or 2:00 pm	Deposit $   250.00
Campsite	Deposit Must be claimed before leaving facility	Deposit $     20.00
Bunkhouse	Deposit Must be claimed before leaving facility	Deposit $     50.00
Paintballs	# Cases	Price $
		Total Deposit	$

*All Prices except Birthday Special include Per Person: Hours of Play Chosen on a variety of Playing Fields, Group run by EMR Safety Trained Refs, 500 Paintballs for 4-Hour Session and 1000 Paintballs for All Day Session, Tippmann Semi-Auto Paintball Marker, Mask/Goggles, Unlimited CO2 and Comp/Air.
**Price includes: The above package plus the Organizer gets the above listed Package FREE and 1500 additional Paintballs.
***Price includes: The above package plus the Organizer gets the above listed Package FREE and 3500 additional 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 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 call (570) 465-9622 and leave a message cancelling AT LEAST 24 HOURS IN ADVANCE of your scheduled start time or the entire deposit will be forfeited to EMR to cover the time and costs of preparing for your group . Your deposit will be held to be used for a future date.

AFTER PAYING - Make sure to CLICK CONTINUE - else your registration will not be sent!
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, P.O. Box 728, New Milford, PA 18834 (570) 465-9622 Blue@emrpaintball.com