Please Put Me On a Team

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 *

Last Name *

SSN#

USBC Card #

Email Address

Gender

M

F

Street Address *

City *

Home Phone

State *

Zip Code *

Date of Birth +

Work or Cell

By submitting this form, I have read & fully understand the rules of the 2024 MBC staged at South Point in Las Vegas, Nevada. Upon acceptance of my application I agree to abide by the Rules & Regulations.

PARTICIPANT'S AGREEMENT *

I AGREE

LINEUPS FOR ALL 3 EVENTS

Squad choices are 1st come - 1st served. List your lineup below. It will be the same for Team, Singles & Doubles. Doubles teams are left and right bowlers 1 & 1, bowlers 2 & 2, and bowlers 3 & 3. See rules in brochure.

Team Name:

Team Captain:

This team is:

Active/Vets

Retired

Senior Retired

1st Squad Choice

2nd Squad Choice

Doubles #1 (left lane)

And (Doubles #1) (right lane)

Doubles #2 (left lane)

And (Doubles #2) (right lane)

Doubles #3 (left lane)

And (Doubles #3) (right lane)

TOURNAMENT ENTRY FEE

Tournament Entry Fee

Tournament Entry $185

Add Sidepots for 3 Events

Add Sidepots $15

OPTIONAL SWEEPERS

Optional Bowling Events are all in the Plaza

Open Age Sweeper, Mon. 8:30 PM – $40

Open Age Sweeper, Wed. 8:30 PM – $40

Age 60 & Over Sweeper, Mon. 8:30 PM – $40

Age 60 & Over Sweeper, Wed. 8:30 PM – $40

No-Tap Sweeper, Tues. 8:30 PM – $40

No-Tap Sweeper, Thurs. 8:30 PM – $40

PAYMENT INFORMATION – Add 3% to total for credit card use.

Name on Card

Bill Amount:

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Credit Card Type

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Ex. Date (mm/yy)

CVV:

SPECIAL INSTRUCTIONS: Please list any special instructions below.

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Total:

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3% Will be added to your order for credit card use

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