Please Put Me On A Team
Entry fee must be paid.

Y

(Players cannot receive prizes without SS# on file and cannot receive an age related prize without birth date on file)

(Mr.) (Ms.) First Name *

Middle:

Last Name *

SSN# (Please use dashes instead of spaces)

USBC

Email Address

Gender *

M

F

Street Address *

City *

Home Phone

State *

Zip Code *

Date of Birth
+

Work or Cell

Recruited by:

Ever rerated or re-assigned an average higher than your entering league average? *

Y

N

I have read and agree to abide by the rules and regulations of the 2023 Columbus Day Seniors Tournament.

PARTICIPANT'S AGREEMENT *

I AGREE

For Team Captains

ONLY 60 TEAMS PER SQUAD – 1st come 1st served! List your lineup below. It will be the same for Team, Singles & Doubles. Doubles teams are bowlers 1 & 2 and bowlers 3 & 4. See rules in brochure.

Team Captain:

Team Name:

Bowler 1

Bowler 2

Bowler 3

Bowler 4

Entry Fee & Squads (See brochure for dates & times)

TIP – don’t make travel plans until your squad times are confirmed. Tournament Entry: $200 Entry Fee Per Person For Team, Doubles & Singles. Check Squad Box for your first choice, then list 2nd Choice in the "Special Instructions" box below (at the bottom of this form beneath credit card information).

$200 Tournament Entry

2023 Columbus Day Entry Fee

Military Discount -$25

Choose a squad:

2nd Choice: Pick a Squad

Special Events (For contestants only)

Special Events

Optional All-Events $30

Sidepots $30

Handicap No Tap $50

Handicap No Tap Mon, Oct. 9 5 PM

Handicap No Tap Mon, Wed, Oct. 11 5 PM

Handicap 3-Game Sweeper $50

Handicap 3-Game Sweeper Tues, Oct. 10 5 PM

Handicap 3-Game Sweeper Thurs, Oct. 12 5 PM

Scratch 3-Game Sweeper $50

Scratch 3-Game Sweeper, Tues, Oct 10 5 PM

Scratch 3-Game Sweeper, Thurs, Oct 12 5 PM

Payment Information – Add 5% to total for credit card use.

Name on Card

CREDIT CARD #: Please use dashes instead of spaces. 🛈

CVV:

Credit Card Type

Ex. Date (mm/yy)

Enter the word in the image *
captcha

Bill Amount:

0.00

5% Added to your order for Credit Card Use

0.00

Total

0.00

SPECIAL INSTRUCTIONS: Please list any special instructions below. List your 2 alternate squad choices in the box. Also where are you staying in Las Vegas?