TENTH ANNUAL POKER RUN
JUNE 17-19 at Fox Chapel Marine
T:412-967-1500x214 C:724-640-2337 bajapete@foxchapelmarine.com
Name:___________________________________________________
Address:__________________City_________State______Zip______
Email:__________________Cell_____________Home__________
Boat Make:__________________Model _______________________
Insurance Info:____________________________________________
Captain:__________________First Mate:__________________ $175
Additional Crew Member:_______________________________ $45
Additional Crew Member:_______________________________ $45
Additional Crew Member:_______________________________ $45
Additional Crew Member:_______________________________ $45
Additional Crew Member:_______________________________ $45
Additional Crew Member:_______________________________ $45
SHIRT SIZES NEEDED Sm___ Med___ Lg___ XL___ XXL____
Total: $____________
Fox Chapel Marine accepts no responsibility for any actions of persons and/or boats involved in this event. Life Jackets should be worn by all involved at all times. No Alcohol is permitted during the event. This is not a race!
The event is limited to 50 boats. Final date for entry is May 30th 2011.
Remember to bring: 100' lock line, extra fenders, safety equipment, etc.
X_______________________________X______________________________
X_______________________________X______________________________
X______________________________ X______________________________