Registration ID
Contact ID
Attendee Information ID
MƒA 2026 Poker Night Tournament Registration Form
If you have any questions prior to completing the registration form, please contact Jonas Stankovich at
poker@mathforamerica.org
or (646) 437-0931.
I am a
Company Registering multiple Players
Tournament Player
Non-Playing Guest
Contact Information
Please enter the information where we can contact you
Please enter the information for the person who should be contacted regarding registration questions and event payment.
Company Name
First Name
Last Name
Mobile Phone
Work Phone
Email Address
Mailing Address
Street
City
State
Please select...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AA
AE
AP
AS
FM
GU
MH
MP
PR
PW
VI
ZIP Code
Dietary Restrictions
Please Select all that apply
Halal
Kosher
Gluten Free
Vegan
Vegetarian
Other
Allergies
Other Dietary Restrictions
Allergies Information
Player Registration
Please enter the name of each player and the number of pre-authorized rebuys. (Up to 3 rebuys can be purchased per person. Rebuys can also be purchased at the event.)
If you do not yet know the names of all of your players, please only add the confirmed players names, and you will be contacted later for the names of the remaining players.
Are you part of a Team?
Yes
No
Team Name
Your initial $5,000 donation to Math for America in connection with the 2025 Math for America Poker Night entitles you to one distribution of chips at the tournament. Three re-buy periods will occur during the tournament. At each re-buy, players will have the opportunity to donate an additional $5,000 to receive another distribution of chips.
Number of Rebuys
Select a number between 0 and 3
Player Registration
Please enter the name of each player and the number of pre-authorized rebuys. (Up to 3 rebuys can be purchased per person. Rebuys can also be purchased at the event.)
How many players?
Please select...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Number of Rebuys per player
Select a number between 0 and 3
If you do not yet know the names of all of your players, please only add the confirmed players names, and you will be contacted later for the names of the remaining players
Contact Info
First Name
Last Name
Mobile Phone
Email Address
Dietary Restrictions
. Please select all that apply (Repeatable)
Halal
Kosher
Gluten Free
Vegan
Vegetarian
Other
Allergies
Other Dietary Restrictions
Allergies Information
Additional Comments
If you have any additional comments for the event organizers, please add them below.
Event Payment
Total $
Total $
Payment Method
Wire Transfer
Check
Credit Card