Event Registration

Event: Island Petroleum Cashspiel

Event Venue:

Event Dates: 04 December 2020 - 06 December 2020

Entry Fee: $

Player 1:

Last Name*

First Name*

Player 1 Date Of Birth*:

Player 1 Email*:

Player 1 Phone*:

Coach:

Contact Info:

Last Name*

First Name*

Contact Email*:

Phone*:

Card Holder's Name*:

Last Name*

First Name*

Card Holder's Email*:

Card Number*: (Note: Only Visa and Mastercard accepted.)

Expiry Date:

Month*

Year*

Card 3 Digit Code*:

Total Fee:$0

I have read and accept the NSCA's refund and liability policies.

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