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Registration for the Chesapeake Bay Poker Run

***All Fields Are Required***
Skipper Address
City State Zip
Home Phone Work Phone
E-Mail Address
Boat Name
Documentation/Registration No.
No. of Crew Make of Boat # of Engines
Total HP Length Overall
Average Cruising Speed
Drive Type
Please indicate complimentary Captain's T-shirt size:
No. Additional Poker Hands at $25 each payable to ACS

I agree to abide by the Poker Run instructions of the American Cancer Society's 99 Chesapeake Bay Poker Run committee. I acknowledge the risks of boating and, knowing that it is my sole responsibility to decide to enter or continue a Run, I voluntarily assume the risk of participation in the event and release the American Cancer Society and the people conducting the '99 Chesapeake Bay Poker Run from all liability in connection with any injury or damage which may occur.
Yes, I Agree No, I Do Not Agree

You will receive a confirmation by e-mail within 3 working days.

The registration fee is $50.00
Call the ACS at (757)853-6638 and use your credit card

If you would like to mail in your registration you can use our printable form here.


Mail it to:
American Cancer Society
LCC & SCBPR
2730 Ellsmere Ave.
Norfolk, VA 23513
or Fax
(757) 853-7006

More information about the American Cancer Society
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