Fill out this form to register for the next MADLan LAN party on Saturday, November 17, 2007 at 10:00 AM to Sunday, November 18, 2007 at 4:00 PM.

Username:*  
Password:*  
Password (again):*  
First Name:*  
Last Name:*  
Email Address:*  
Web Site:  
Location: (eg: City, State)  
Affiliation:  
Nickname / Game Name:*  
Favorite Weapon:  
Favorite Saying:  
Gaming Rig:  

*Required fields

The next section is required. Please answer the questions seriously because we want to get a better idea of who are guests are.

What games will you be playing at the party?
Battlefield 2 or 2142 Quake 4
Counter-Strike:Source Supreme Commander
World Of Warcraft TrackMania
Gears of War - Console Halo 3 - Console
 
How many LAN Parties have you attended?
0 1-3
4-10 10+
 
Have you attended a MADLan LAN party in the past?
Yes
No
 

I have read the LAN Party disclaimer and agree to its terms. (If you are under the age of 18, you need to bring a signed disclaimer form with you to the event.)

Remember, your IP Address(38.103.63.61) is being recorded for security reasons.

All information you submit will be kept confidential and reasonable measures have been made to keep the information secure. We do not sell, rent, lease or allow any third parties to view or use the information collected during the registration. We assume no responsibility for any breach of security to this data.