Texas Hold'em Poker Tournament Registration Form
For Mandatory Pre-Registration
Full Name
*
First Name
Last Name
Date of Birth - Must be age 19 or older February 4, 2024
*
/
Month
/
Day
Year
Date
Contact Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
We will use your email for the Feb 4th poker tournament receipt and table/seat assignment only. However, if you would like to be notified about promotional services, such as future Rotary Daybreak tournaments, please select Yes below.
Yes
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Texas Hold'em Poker Tournament Registration
Sunday February 4, 2024 - 12:30 Doors Open / 2:00 START
$
100.00
CAD
Optional Donation To The Rotary Club of Nanaimo Daybreak
$
5.00
CAD
Credit Card
Submit
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