D-Day 2010 Online Registration


Personal Information:  

Please note that a valid email address is important as you will be receiving a validation email soon after submitting this form to allow you to validate your registration details before you are fully added to our registrations database. An additional email will be sent when your payment has been officially received by Phoenix Paintball.
First Name:   *
Surname:   *
Address:   *
Suburb/Town:   *
State:   *
Post Code:   *
Gender:   Male Female
Home Phone:  
Mobile Phone:  
Email Address:   *
Member of Paintball Club:   Yes     No
Guest Of / Club Name:   *
Dietary Requirements:  
T-Shirt Size:  

Rental Requirements:  

If you are a guest of a club member who doesn't have their own gear, or an international player not wishing to deal with Australian Customs import restrictions, we have a very limited number of markers available to be hired on the day. If you are in need of this service, please enable the following option.
Marker:   +$30

Group Information:  

If you are a member of a group of people that would like to be registered together so that there is more chance you can be allocated to the same regiment, you can use the fields below to either 1: select your group registration name from the list provided; or 2: if no one in your group has registered yet, create a new group name to be registered under (Note: you will need to select Create New from the dropdown box to do this).
Group Name:      

Preferred Payment Option:  

Details for the payment methods will be displayed on the following screen once you submit your registration.
Phone Credit Card:  
Direct Deposit:  
Cheque/Money Order:  
Cash:  



Splat Fact: Paintballs are made from gelatin capsules filled with coloured polyethylene glycol