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2014 Support Our Troops Poker Run Registration
Boat Registration
YOU MUST SELECT THE BOAT REGISTRATION BOX IF YOU ARE RUNNING A BOAT IN THE POKER RUN!!!!
Boat registration entitles Captain and First Mate to 2 T-shirts, 2 Dinners, 2 Party Tickets, 2 Poker Hands and 1 DVD.
Boat Registration:
Register One Boat
** EARLY BIRD SPECIAL
PAID registration before May 30th are $200
Registrations made or paid after May 30th are $250
Captain Information
E-Mail:*Valid e-mail is required
First Name:*
Last Name:*
Forum Name on MWBP:
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Phone:*
Age:*
Captain T-Shirt Size
First Mate Information
First Mate Name:
First Mate Age:
First Mate T-Shirt Size
Boat Information
Boat Make*
Boat Model*
Boat Length*
Boat Year*
Boat Registration/Documentation Number*
Boat Insurance Company*Must provide copy of policy!
Boat Insurance Policy Number*Must provide copy of policy!
Boat Insurance Expiration Date mm/dd/yyyy*Must provide copy of policy!
A copy of your insurance policy must be on file before your registration will be considered complete. No boat will be allowed to run without a copy of your insurance policy on file!!
Engine(s) Description (number/size)*ex. Twin 502`s
Maximum Obtainable Speed*
Please note that the Missouri Water Patrol has placed a 60 MPH Speed Limit in effect for all Poker Runs and other events at the Lake of the Ozarks.
Passenger 1 Registration
Entitles one crew member to one t-shirt, dinner and admission to the post party.
Passenger 1
Passenger 1 (Not including Captain or First Mate)
Passenger 1 Name
Passenger 1 Age:
Passenger 1 T-Shirt Size
Passenger 1 DVD
Passenger 1 would like a DVD
Passenger 1 Poker Hand
Passenger 1 would like to play a poker hand.
Passenger 2 Registration
Entitles one crew member to one t-shirt, dinner and admission to the post party.
Passenger 2
Passenger 2 (Not including Captain or First Mate)
Passenger 2 Name
Passenger 2 Age:
Passenger 2 T-Shirt Size
Passenger 2 DVD
Passenger 2 would like a DVD
Passenger 2 Poker Hand
Passenger 2 would like to play a poker hand.
Passenger 3 Registration
Entitles one crew member to one t-shirt, dinner and admission to the post party.
Passenger 3
Passenger 3 (Not including Captain or First Mate)
Passenger 3 Name
Passenger 3 Age:
Passenger 3 T-Shirt Size
Passenger 3 DVD
Passenger 3 would like a DVD
Passenger 3 Poker Hand
Passenger 3 would like to play a poker hand.
Passenger 4 Registration
Entitles one crew member to one t-shirt, dinner and admission to the post party.
Passenger 4
Passenger 4 (Not including Captain or First Mate)
Passenger 4 Name
Passenger 4 Age:
Passenger 4 T-Shirt Size
Passenger 4 Poker Hand
Passenger 4 would like to play a poker hand.
Passenger 4 DVD
Passenger 4 would like a DVD
Passenger 5 Registration
Entitles one crew member to one t-shirt, dinner and admission to the post party.
Passenger 5
Passenger 5 (Not including Captain or First Mate)
Passenger 5 Name
Passenger 5 Age:
Passenger 5 T-Shirt Size
Passenger 5 DVD
Passenger 5 would like a DVD
Passenger 5 Poker Hand
Passenger 5 would like to play a poker hand.
Passenger 6 Registration
Entitles one crew member to one t-shirt, dinner and admission to the post party.
Passenger 6
Passenger 6 (Not including Captain or First Mate)
Passenger 6 Name
Passenger 6 Age:
Passenger 6 T-Shirt Size
Passenger 6 DVD
Passenger 6 would like a DVD
Passenger 6 Poker Hand
Passenger 6 would like to play a poker hand.
Passenger 7 Registration
Entitles one crew member to one t-shirt, dinner and admission to the post party.
Passenger 7
Passenger 7 (Not including Captain or First Mate)
Passenger 7 Name
Passenger 7 Age:
Passenger 7 T-Shirt Size
Passenger 7 DVD
Passenger 7 would like a DVD
Passenger 7 Poker Hand
Passenger 7 would like to play a poker hand.
Passenger 8 Registration
Entitles one crew member to one t-shirt, dinner and admission to the post party.
Passenger 8
Passenger 8 (Not including Captain or First Mate)
Passenger 8 Name
Passenger 8 Age:
Passenger 8 T-Shirt Size
Passenger 8 DVD
Passenger 8 would like a DVD
Passenger 8 Poker Hand
Passenger 8 would like to play a poker hand.
Other Items
We have some very special Military Guests coming to the Poker Run. Very few of them will ever get the opportunity to participate in an event like this. If you would like to let some of our guests ride with you during the poker run, please indicate the number of Military Guests you would be willing to take on your boat with you.
Number of Military Guests I Can Take
0 1 2 3 4 
Dinner/Party Tickets Only. For those that can not come on your boat but would like to join you after the poker run.
Dinner/Party Tickets
Dinner/Party Tickets
If you would like additional Poker Hands, please check below. Each boat registration gets 2 free Poker Hands.
Extra Poker Hand
Extra Poker Hand
If you would like additional copies of the DVD, please check below. One copy of the DVD comes with each boat registration.
Extra DVDs
Extra DVDs
If you would like extra t-shirts please fill in sizes below.
Extra T-Shirt 1
Extra T-Shirt 2
Extra T-Shirt 3
Extra T-Shirt 4
Grand Total
Grand Total:
 

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