Registration

This information is to help us select topics for training. Please provide the following contact information: First Name Last Name M.I. Home Phone Cell Phone (optional) e-Mail D.O.B. mm/dd/yyyy Have you ever played in a Los Angeles Card Club/ Casino? -- Yes No Bicycle Casino Commerce Harrah's Rincon Hustler Grand Casino Normandie Club Caribe Hawaiian Gardens Lake Elsinore Oceans 11 Crystal Palace Hollywood Park Morengo Sycuan OTHER Have you ever played in a Las Vegas Casino? -- Yes No Bellagio Golden Nugget Horseshoe Imperial Palace Gold Coast Oasis Orleans Flamingo Mirage Rio Sahara Palms Union Plaza Sam's Town Wynn's Bally's OTHER   Have you ever played online? -- Yes No AbsolutePoker.com Bodog.com CardPlayer.com DoylesRoom.com FullTiltPoker.com GamingClubPoker.com MartinsPoker.com NoblePoker.com PacificPoker.com ParadisePoker.com EmpirePoker.com PartyPoker.com PokerHost.com PokerMountain.com PokerRoom.com PokerTaverns.com UltimateBet.com TheBike.com OTHER Have you ever read any poker books? -- Yes No Doyle Brunsen Mike Caro T.J. Cloutier Brad Daugherty Johnny Chan Phil Gordon Phil Hellmuth Howard Lederer Tom McEvoy Chris Moneymaker Mason Malmuth David Sklansky Barry Shulman Mike Sexton OTHER Do you read any Poker Magazines? -- Yes No Card Player Poker Player All In Bluff Gambling Times Sports Crew  Top Pair OTHER All information becomes the property of Poker Academy, Inc. Copyright © 2005Poker Academy, Inc. All rights reserved. Revised:   Poker Academy, Inc info@poker-academy.net