Square Charity Donation Form

June 12th - Captain’s Meeting stop by and pick up your Poker Run bag.

Registration open from 6pm - 8pm at Bacchus on the Bayou

June 13th - Poker Run Event
Time: 10:30 - 3:30 at the stops
After Party and hands dealt at Pier 15 - Must be in Dealers' Line by 4:00 pm

Stops Include:
Bacchus on the Bayou
Bacchus on the Bluff (former Flamingo Landing)
Yul’s Place
Oranutangs
Captain Al’s
Blow Fly Inn
Wahoo’s

Name

First NameLast Name

Email*

example@example.com

Participation Options*

Single Hand

Pre-registration by June 5

$50.00 Quantity

Additional Hand

$25.00 Quantity

Poker Run Long Sleeve Dri-Fit Shirt

$20.00 QuantitySize

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card