Please Read this Sample Form to understand the rules before you sign up at "The Casino" to register for table and seat numbers

DEAF POKER TOUR

NAME:                                                                                                                                             

                                          ADDRESS:                                                                                                                                        

                                          CITY:                                                            STATE:                                         ZIP:                          

                                                 E-MAIL:________________________________________________________________                ___               

STANDARD PARTICIPANT RELEASE/ENTRY FORM

In consideration for the opportunity to participate in the Deaf Poker Tour hosted by DeafPokerTour.Com - the undersigned Participant ("Participant"), hereby agrees as follows:

Participant agrees that Participant will make no claim of any kind against DeafPokerTour.Com, the Deaf Poker Tour and "The Casino" as a result of participating in the Deaf Poker Tour event, and irrevocably and unconditionally waives and releases DeafPokerTour.Com, Deaf Poker Tour, "The Casino" and its invitees and participants from all claims arising out of such use, including, without limitation, any claims for invasion of privacy, infringement of Participant's right of publicity, defamation (including libel and slander) and any other personal and/or property rights.

By registering, I attest to the fact that I am over 18 years of age.

                                                                                                         SIGN-UP

 "The Casino" reserves the right to modify or cancel this tournament at its sole discretion and without prior notice.

NO REFUNDS AFTER YOU SIGN

By signing below, Participant hereby acknowledges and agrees to the following.

 

Signed:______________________________________________________ Date:_______________