Surrender Nightclub Guest List Request Form

Please complete the following form:

Please note that this is a REQUEST for guest list. Our reservationist will confirm your guest list by phone or email. You are not on the guest list until you receive confirmation from our reservationist.

Required Fields are marked with *

1. Fill Out With Facebook
2. First Name *
3. Last Name *
4. Email Address *
5. Phone Number
6. Age *
7. Booking Type -- Select -- We want to party Birthday party Bachelorette party Bachelor party Corporate Function Other Event
8. Arrival Date *
9. Days of week requested *

   1. Wednesday
   2. Friday
   3. Saturday
10. Number in group*

    1. Girls Guys
11. Comments
12. Subscribe to newsletter?

    1. Yes

GUEST LIST DISCLAIMER: PLEASE READ...

Guest list requests are accepted for all days of the week. Guest list privileges are subject to capacity and limited for some special events. You will be notified via phone / email if your application has been accepted. Requests made after 8:30PM PT will be processed the next day. Please be sure to bring valid ID. No one under 21 admitted.