Trivia Night Registration

Use the form below to register for the next Trivia Night for Epilepsy!

If you have problems registering please e-mail or call 860-346-1924 and we'll be happy to process your registration over the phone.


Registration Information
Who Else is Playing?

Payment Information

Please review your information carefully. Once you submit your registration your information you will no be able to make any changes.


Total: $



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