POKER EVENT PRE-REGISTRATION
(select the Submit button once the form is complete)
[RED FIELDS ARE REQUIRED]

Friday, September 12, 2008

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     Player's Name:      

     Player's Email:       

     Player's Address:      

     Player's City:      

     Player's State:                  Player's Zip Code:      

     Telephone Number:      

     Number of Adults Attending (if more than 6, redo registration with extra names):     1 2 3 4 5 6

     Player #2 Name:    

     Player #3 Name:    

     Player #4 Name:    

     Player #5 Name:    

     Player #6 Name:    

     How did you hear about this event (check all that apply)??

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This form must be received by the FOP 130 Poker Committee before 3:00pm on the given game day