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NATIONAL DEAF POKER TOUR NOVEMBER 5-6, 2010 REGISTRATION FORM

NAME: ADDRESS: CITY: E-MAIL: STATE: ZIP:

STANDARD PARTICIPANT RELEASE/ENTRY FORM

In consideration for the opportunity to participate in the National Deaf Poker Tour hosted by GKC, LLC - the undersigned Participant ("Participant"), hereby agrees as follows: Participant agrees that Participant will make no claim of any kind against GKC, LLC., National Deaf Poker Tour and Trump Taj Mahal as a result of participating in the National Deaf Poker Tour event, and irrevocably and unconditionally waives and releases GKC, LLC., National Deaf Poker Tour, Trump Taj Mahal 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 21 years of age. To participate in the Deaf Ladies Poker Event and the National Deaf Poker Tour Main Event, I attest to the fact that I am either deaf or hard of hearing (minimum 55 dB hearing loss) and thus eligible to play in this tournament. I acknowledge that if if I am discovered otherwise, I will forfeit my winnings and points.

NO REFUNDS AFTER OCTOBER 31, 2010 By signing below, Participant hereby acknowledges and agrees to the foregoing.

Signed: Mail registration form and funds to: GKC, LLC 21800 Town Center Plaza Suite #266A Sterling, VA 20164 Select the tournaments you want to participate in $120 $120 $120 $200 $120

TOTAL: Friday, November 5 - NDPT No Limit Omaha Hi/Lo 4:00pm Buy in: $120 ($90 to pot) Friday, November 5 - NDPT's Deaf Ladies Poker Event 8:00pm Buy in: $120 ($90 to pot) Friday, November 5 - NDPT Texas Hold' Em Madness 9:30pm Buy in: $120 ($90 to pot) (open to deaf, interpreters, coda, supporters of the deaf community with signing skills) Saturday, November 6 - NDPT Main Event 11:15am Buy in: $200 ($160 to pot) Saturday, November 6 - ASL's Poker Tournament 6:00pm Buy in: $120 ($90 to pot) (open to deaf, interpreters, coda, supporters of the deaf community with signing skills)

Date:

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