By entering your Chinook Winds Winners Circle Card number(s) on this form you MAY be entered into a drawing for cash prizes of $250, $150 and $100 sponsored by Chinook Winds Casino Resort. You can only be entered into this drawing by including your winners circle number on an official entry form. One entry per person (not per event entered) will be submitted for this drawing.

Green fees include table time for this tournament event, 2nd chance tournaments, ring games, mini-tournaments and practice.

Make checks payable to Western BCA. All fees must accompany this form. Your cancelled check is your receipt. Entries must be postmarked or in the hands of the Tournament Registrar no later than February 27, 2012. Late entries must be postmarked by March 5, 2012 and include non-refundable late fee of $10. No exceptions. Service charge for returned checks: $25.00.

By signing below, I, the above named entrant, stipulate that I am a Western BCA player in good standing, have paid my membership fees for the current year, have met the eligibility requirements for entry into this tournament and am entering in my proper division.If I am a junior, my birthdate is filled in. My signature further indicates my agreement that my name and likeness may be reproduced for publication on the Western BCA website and in any media outlet with which Western BCA contracts for informational and promotional purposes. False information will result in immediate expulsion from the tournament and forfeiture of all fees.