Southern Cross Annual 5 Day Poker Run Registration Form
Please DO NOT fill out this form if you are paying by cheque, money order or cash.
Meals and shirts must be ordered and paid for by 31 July. We have to preorder them.
If you order after this date we'll try but cannot guarantee you meals or a shirt in your size.
Red Class: includes Dinners & Breakfasts, T-shirt, Badge & Camping, Poker Hand- $310
Blue Class: includes Dinners, T-shirt, Badge & Camping, Poker Hand- $270
Green Class: includes Breakfasts, T-shirt, Badge & Camping, Poker Hand- $230
White Class: includes T-shirt, Badge & Camping, Poker Hand- $150
Long Sleeve Shirt
Direct Debit Only
Southern Cross Association (FTC) Inc.
Date of Deposit
This section is optional. Note: Blue cards are required when marshalling or giving rides to children.
Blue Card Holder
Willing to give rides at camping grounds / schools
Willing to be a Marshal for rides
Are you able to help with cards, meal sheets, or other activities at the campsites?