* Required

**The "Table Captain" will be considered the owner of the contact information provided in this form.**

Note: This can be changed.​
ex: John Smith '87​​, Sarah Jones​ etc.​​​
This can change as the event approaches. Please provide alumni year if applicable.​​​​​

You will be taken to a seperate, secure page to complete transaction​​​.

Send payment to:

Creighton Prep
Attn: Trivia Night
7400 Western Ave
Omaha, NE  68114-1878

Note: Your spot will not be reserved until full payment is received.