2013 National Quoit Tour Official Entry Form

USQA Singles Championship

SUNDAY, September 22, 2013

 

MAIL-IN entry Must be RECEIVED by: Monday, September 16, 2013

Position is NOT guaranteed if not pre-registered!

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

$40.00 Entry Fee Due for this Player

Please accept my official entry into the 2012 Singles Championship.

Enclosed is my Entry Fee, along with my contact information below:
Notes: Team Name is OPTIONAL - Last Name will be used on Scoreboard if no Team Name is given. Email address is required - 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.
 
Player (Applicant)

 

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Name

 
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Address

 

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City, State, Zip

 

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Email Address

NON-COMPETE REQUEST

If other players 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 player below. We will do our best to separate your club players into different divisions so you do not directly compete against them until the playoffs.

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Player's Full Name

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Player's Full Name

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Player's Full Name

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Player's Full Name

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 with the correct form for the event.

 

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Print the Name of the Tournament Event on this Line

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

Please make Personal Checks Payable ONLY to Tony Russo

Mail your registration to:

Tony Russo

1938 Squire Court

Wyomissing, PA 19610
Thank you very much for your participation. We look forward to seeing you there!