Structure
The Michigan Win Loss Statement form is an essential document for players at Grand Traverse Resort and Casinos who wish to obtain a record of their gaming activity. This form requires customers to submit a signed request, ensuring that only Player’s Club Card members can access their win/loss statements. Notably, a husband and wife can utilize a single form for their request. The information provided will reflect only the play associated with the customer’s player card, as the casino does not track any play that occurs without card usage. To complete the form, patrons must include their personal details, including their name, Player’s Card number, and contact information. Additionally, the form includes a release clause, where patrons agree to indemnify the casino against any claims related to the information provided. It is crucial for customers to understand that the data may not fully represent their gaming activity, as it is based solely on the player tracking system. Only official requests, accompanied by proper identification, will be processed, and submissions can be made via mail, email, or in person. For those seeking their win/loss statements, the form serves as a vital step in documenting their gaming experience.
Form Example
Win Loss Statement Request
In order for Grand Traverse Resort and Casinos to release this information each customer is required to submit a signed request. Husband and Wife may use one form. The win loss statements are only available for Player’s Club Card members. Grand Traverse Resort and Casinos does not track play that is not associated with a customers player’s card account
Please provide me with a Win/Loss Statement for Year (s) _________
Name _________________________________________________ |
Player’s Card Number: _______________________ |
SS# ___________________________________________________ |
Date of Birth: _______________________________ |
Mailing Address ______________________________________________________________________________________
City/State/Zip: ________________________________________________________________________________________
Phone Number (___) _______________________ Email statement to __________________________________________
By signing below the patron hereby releases Grand Traverse Resort and Casinos, its officers, directors, employees, agents from and against any loss, cost, expense (including attorney’s fees and costs, damages, liability or clams of any kind. Additionally, patron hereby agrees to indemnify Grand Traverse Resort and Casinos for, from and against any loss, cost, expense (including attorney’s fees and costs), damages, liability or claims of any kind related to releasing this information. The undersigned acknowledges that the information being provided is based on player tracking information which includes only the play when the undersigned’s players card was connected to the system, and may not accurately reflect the amount of the undersigned’s play since the undersigned can play when the card is not connected to the system and is derived from a system that does not verify the identity of the person using the player card and may include estimated amounts to correct human error in inputting information.
Account Holder’s Signature ______________________________ Date____________________
***********************************************************************************************
Please provide me with a Win/Loss Statement for Year (s) _________
Name _________________________________________________ |
Player’s Card Number: _______________________ |
SS# ___________________________________________________ |
Date of Birth: _______________________________ |
Mailing Address ______________________________________________________________________________________
City/State/Zip: ________________________________________________________________________________________
Phone Number (___) _______________________ Email statement to ___________________________________________
By signing below the patron hereby releases Grand Traverse Resort and Casinos, its officers, directors, employees, agents from and against any loss, cost, expense (including attorney’s fees and costs, damages, liability or clams of any kind. Additionally, patron hereby agrees to indemnify Grand Traverse Resort and Casinos for, from and against any loss, cost, expense (including attorney’s fees and costs), damages, liability or claims of any kind related to releasing this information. The undersigned acknowledges that the information being provided is based on player tracking information which includes only the play when the undersigned’s players card was connected to the system, and may not accurately reflect the amount of the undersigned’s play since the undersigned can play when the card is not connected to the system and is derived from a system that does not verify the identity of the person using the player card and may include estimated amounts to correct human error in inputting information.
Account Holder’s Signature ______________________________ |
Date____________________ |
Only complete official request forms will be accepted for processing. (Must include a copy of Driver’s License OR enter your social security number for verification purposes or request (s) will not be processed). Statements will be processed after the first of the New Year unless specifically requested. Return form via mail, email or drop off at either Casino.
Grand Traverse Resort and Casinos |
|
Attn: Shirley Shananaquet, CMP Administrator |
|
7741 |
|
Office |
email: Shirley.Shananaquet@gtbindians.com |
Document Specs
| Fact Name | Description |
|---|---|
| Request Requirement | Customers must submit a signed request to obtain a Win/Loss Statement. |
| Joint Requests | Husbands and wives may use a single form to request their statements. |
| Player’s Club Membership | Only members of the Player’s Club Card can request Win/Loss Statements. |
| Tracking Limitations | The casino does not track play that is not associated with a customer's Player’s Card account. |
| Information Accuracy | The statement is based on player tracking information and may not accurately reflect total play. |
| Indemnification Clause | Patrons agree to indemnify the casino against any claims related to the information released. |
| Verification Requirement | Requests must include a copy of the driver's license or social security number for verification. |
| Processing Timeline | Statements will be processed after the first of the New Year unless specified otherwise. |
| Submission Methods | Forms can be submitted via mail, email, or in person at the casino. |
| Contact Information | Requests can be directed to Shirley Shananaquet at Grand Traverse Resort and Casinos. |
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