Poker Run

 

NINTH ANNUAL POKER RUN
July 17th 2010 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 2010.
Remember to bring: 100' lock line, extra fenders, safety equipment, etc.

X_______________________________X______________________________

X_______________________________X______________________________

X______________________________ X______________________________