2013 National Quoit Tour Official Entry Form

USQA Pro-Am

Saturday, May 18, 2013

 

MAIL-IN entry Must be RECEIVED by:  Wednesday, May 15, 2013

Position is NOT guaranteed if not pre-registered!

Print Out this Page, Complete ALL Information, Enclose Payment, and Mail to Address Below.

 $50.00 Entry Fee Due for this 2-Person Team 

Please accept our official entry into the 2013 Pro-Am.

Enclosed is our Entry Fee and contact information for both players below:

Notes:  Team Name is OPTIONAL - Last Names will be used on Scoreboard if no Team Name is given.  Email address is required for at least one player on each team - this is the primary method to send you important information or updated status of the tournament.  A telephone call will be made only if absolutely necessary.
Team Name:  ________________________________________________  (OPTIONAL)
 Player #1   (Applicant)  Player #2    (Teammate / New Player)

________________________________________

Name

 _________________________________________

Name

________________________________________

Address  

 _________________________________________

Address  

________________________________________

City, State, Zip

 _________________________________________

City, State, Zip

(_____)  _______ --  ____________

Telephone  

 (_____)  _______ --  ____________

Telephone  

________________________________________

Email Address 

__________________________________________

Email Address 

NON-COMPETE REQUEST

If other teams you pitch regularly with your local Quoit club are registered for this event, and you do not wish to pitch against them in the same division during Pool Play,  please list the names for each team, or their team names, below.  We will do our best to separate your club teams into different divisions so you do not directly compete against them until the playoffs. 

________________________________________

Team Name or Both Player's Full Names

________________________________________

Team Name or Both Player's Full Names

________________________________________

Team Name or Both Player's Full Names

________________________________________

Team Name or Both Player's Full Names

REGISTRATION VERIFICATION

Please print the name of the tournament you are registering for on the line at right, so we may verify that you are registering for the proper Tournament using the correct form for the event.

 

________________________________________

Print the Name of the Tournament Event on this Line

Please Print this Page, Complete ALL Information Above, and Enclose Payment.

Please make Personal Checks Payable ONLY to Dave Bolig

Mail your registration to:

Dave Bolig

435 Antietam Rd

Reading, PA 19606

Thank you very much for your participation.  We look forward to seeing you there!