First Name

Last Name

Address

City

State

Zip

Home Phone

Cell Phone

Email

Date of Birth

Gender

Occupation

Referred By

Specify:

A $35 deposit is now required upon application. This security deposit will be held against your credit card. The hold will be cancelled after the event is over. In the event that your application is not approved, the hold will be cancelled at that time. You will be charged the $35 if:

• You cancel less than two weeks prior to the event start date or were a no-show at the event
• You bring along unapproved or extra guests and/or
• You fail to abide by Oorah's rules as determined by Oorah in Oorah's sole discretion.

Credit Card Number

*Expiration Date

CVV