BOAT POKER RUN

Saturday August 13, 2022, 10AM to 2PM

1st Prize $750 CASH

Poker Run Registration Form - Saturday, August 13, 2022

Name (Registrant #1)(Required)

First Last

Address (Registrant #1)

Street Address City Postal Code

Phone (Registrant #1)(Required)

Email (Registrant #1)(Required)

Boat Model

Boat Name

Boat Reg #

Will there be a second poker player on your boat?

Yes

Name (Registrant #2)

First Last

Address (Registrant #2)

Street Address City Postal Code

Phone (Registrant #2)(Required)

Email (Registrant #2)(Required)

Registration Fee $20/person (Required)

Price: $ 20.00 CAD

Entry Fee: $20.00 / registered person (maximum of two poker players / boat)

Registration is not complete until payment is received by the Peachland Yacht Club via e-transfer to PYCpayments@shaw.ca. In the message area of the e-transfer please include wording "2022 Poker Run - YOUR NAME(S)" to reconcile payment.

Total

Waiver: I certify that the above boat is insured for this event for public liability and property damage with the following:

By checking YES below, I agree to comply to all rules and regulations of the Peachland Yacht Club Boat Poker Run.
I agree that the boat named in this application for entry is in safe operating condition and is fully insured and meets the requirements of the British Columbia Boating Regulations.
I acknowledge I am entering at my own risk and must obey the rules of the water and maintain safe boating practices.
I acknowledge that all corporate and non-corporate sponsors, as well as Peachland Yacht Club Boat Poker Run committee will not be held responsible for any damage, injury or death which may result directly or indirectly from the poker run event.

I Agree To The Terms (Registrant #1)(Required)

Yes

I Agree To The Terms (Registrant #2)(Required)

Yes

Phone

This field is for validation purposes and should be left unchanged.