Poker Event Registration

Player's Name
Quantity
Price
Total
Buy-In (REQUIRED)

Tournament Registration

X
$
200.00=
$
0

Re-Buy (MAX = 2)

Re-entry into tournament if you lose your chips prior to the end of the 5th blind

X
$
100.00=
$
0

Add-On

Adds 50% of the initial chip count to your total at the conclusion of the 5th blind

X
$
100.00=
$
0

Royal Flush

Includes: - 5 entries to "Poker For tiny Hearts" including 1 Buy-In, 1 Re-Buy and 1 Add-On per entry - Name/Logo on all Poker For tiny Hearts related advertising - Name/Logo on all StHS fundraising related solicitations for 6 months

X
$
10,000.00=
$
0

Full House

Includes: - 2 entries to "Poker For tiny Hearts" including 1 Buy-In, 1 Re-Buy and 1 Add-On per entry - Name/Logo on all Poker For tiny Hearts related advertising

X
$
5,000.00=
$
0

Three of a Kind

Includes: - 1 entry to "Poker For tiny Hearts" including 1 Buy-In, 1 Re-Buy and 1 Add-On

X
$
1,000.00=
$
0

Final Total:
$
0

Payment Information

Country*
Email*
Confirm Email*
Phone*
Amount*
$
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
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