POKER SIGN-UP FORM
The entry cost for this fun event is $85 and it includes the dealer appreciation. Rebuys and add-ons can be purchased later in the poker room.
Full Name
*
First Name
Last Name
Team Name
*
List age group and team name (i.e. 13u CHAOS)
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
POKER BUY-IN FEE
*
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NCS WORLD SERIES POKER EVENT
Coaches and Staff only
$85.00
$
85.00
Quantity
1
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
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April
May
June
July
August
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October
November
December
Expiration Month
Expiration Year
2026
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Expiration Year
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