ADULT PLAYGROUND 2 PARTY REGISTRATION

Please use this form to register for the parties held at Mid Atlantic Social Club! The Adult Playground Club discounted price is $35 per couple plus if you register for a hotel room they will knock off an additional $5....For those of you who need a hotel room please contact the hotel directly at 804-452-0022.  Let them know you are with the "Keith and Kay Banquet Group" Even if you are already a member of MAC you must fill out this form on this site to receive any discounts or amenities provided by Adult Playground!

First Name (Her)

Last Name (His)

Last Name (Her)

First Name (His)

Names wanted on Name Tags

Phone Number

Primary Email (good one)

Other Email

Attending Event:

(select one)

If you are staying overnight please provide us with a confirmation number.

Hotel Confirmation #

Are you already a member of MAC?

Would you like your name tag names (e.g., ~Dave and Mary~) and email address to be included on the guest list on AP2 for others to see?