Please Put Me On A Team
(Players cannot receive prizes without SS# on file and cannot receive an age related prize without birth date on file)
(Mr.) (Ms.) First Name
USBC Card #
Work or Cell
Date of Birth
Ever receive an average rerate/reassignment?
Yes (received Avg. Rerate/Assignment)
No (have not received Avg. Rerate/Assignment)
Send a confirmation to everyone on the team?
Y (send confirmation)
N (no confirmation)
I have a U.S. Military background and receive a $25 discount on my $200 entry
Yes (U.S. Military Background discount)
I have read and agree to abide by the rules and regulations of the 2019 Columbus Day Seniors Team Classic.
For Team Captains
Your squad choice:
List your lineup below. It will be the same for Team, Doubles & Singles. Doubles teams are bowlers 1 & 2 and bowlers 3 & 4. See rules in brochure.
2019 Columbus Day Seniors Team Entry Fee
Bowl 3 events – Team, Doubles & Singles
$200 per person – $225 onsite
(Entry fee includes Sidepots for Team, Doubles & Singles events)
Entry Fee $200
2019 Columbus Day Seniors Team Entry
Military Discount -$25
WANT MORE BOWLING?
Optional All-Events $20
Handicap 3-game Sweeper Mon, 5 PM – $40
Handicap 3-game Sweeper Wed, 5 PM – $40
Scratch 3-game Sweeper Mon, 5 PM – $40
Scratch 3-game Sweeper Wed, 5 PM – $40
Handicap No Tap Tues, 7 PM – $40
Handicap No Tap Thurs, 7 PM – $40
Mixed Doubles Tues 5 PM $20 (per person)
Mixed Doubles Thurs, 5 PM $20 (per person)
PAYMENT INFORMATION – Add 5% to total for credit card use.
Name on Card
Credit Card Type
CREDIT CARD NUMBER:
Please use dashes instead of spaces.
Ex. Date (mm/yy)
Enter the word in the image
5% Added to your order for Credit Card Use
Please list any special instructions below.
List your 2 alternate squad choices in the box.
Also where are you staying in Las Vegas?