XS Nightclub Guest List

Complete the following form and submit.

Name Name * First Last
Phone Phone * - ### - ### ####
Email *
Must be submitted by 9pm day of event!

Guest List only Available on Friday & Saturday. No Spacial Events or Holidays.
Date Date * / MM / DD YYYY
Any additional people in your party? *

Any additional people in your party? Yes No
How many guys? *
How many girls? *