Registration Form for Trivia Night October 2026

Friday, October 2nd, 7:00-9:30pm CST
This is an in-person event. | Doors Open at 6:00 PM
Registration fee: $25
Sign up as an individual or as a table.

Come and join your friends for The Well's annual Trivia night! It will be a wonderful evening of fun, community and Trivia! You are welcome to register a full table (8 people at a table) or register yourself and we will place you with a team!

As a reminder, please bring any refreshments you would like, both food and drinks.

Event Ticket Information

Trivia Registration$25.00

Qty

Sub Total$0.00

Registering for Multiple People?

List names here (not required)

Registering Individually?

List Team you would like to be on, if applicable (not required)

Additional Donation

Amount

Contact Info

First Name

Last Name

Country

Address 1

Address 2

Postal Code

City

State/Province

Phone Number

Email Address

Yes, I would like to receive email communications.

Payment

Card Number

Card Type

Expiration Month

Expiration Year

Name On Card

CVV Code

Account Number

Routing Number

Name On Account

Account TypeCheckingSavings

Billing Street Address

Billing Unit or Apartment Number

Billing City

Billing State or Province

Billing Postal Code

Billing Country