Application Form
* = Required
Name: *
Street: *
City: *
State: *
Zip: *
Email:
Phone: *
Payment
Type:*
(Check or
Credit Card)
Payments can be made by check or
credit card. After filling out this form,
Neil Jaquez will call you about payment,
or you can call him at (928) 714-6401 to
make your payment.
Questions, comments, or feedback:
Print out your receipt after clicking on
the Send Form button.
Welcome to The Guidance Center
150 Mile Poker Run around northern Arizona begins and
ends at The Elks Lodge in Flagstaff, 2101 N. San Francisco
St. (Click here for a map to the Elks Lodge). Check-in at
8:30 am, ride starts at 10:00 am and ends at 4:00 pm.

Cash prizes for Best and Worst hands.

Pre-register with the below form, or call 928-714-6405 and
receive an event t-shirt, water bottle and goody bag at
check-in. The first 50 riders will also receive a collector's
Poker Run pin.

If you don't ride, or can't, you can still support mental health
with the following fun activities. All are welcome!






All proceeds benefit The Guidance Center for Mental Health.

You won't want to miss this exciting event!

Support mental health and come out and ride!

Payments can be made by check or credit card. After
filling out the below form, Neil Jaquez will call you about
payment, or you can call him at (928) 714-6401 to make
your payment.
Prices
  
For Motorcycles
 $25 for 1 person
  $40 for 2 people
   
For Cars
 $25 for 1 person
  $15 per additional person
  who wants a poker hand
  • Breakfast and Dinner fundraiser. Come and
    enjoy some great food!
  • Play Bingo at The Lodge and win great prizes,
    from 6:00 pm to 9:00 pm. Raffles, prizes all
    night.