2011 National Quoit Tour Official Entry Form

USQA World Quoit Championship

Saturday, September 17, 2011

MAIL-IN entry Must be RECEIVED by:  Monday, September 12, 2011

Position is NOT guaranteed if not pre-registered!

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

 Check One Entry Fee below - Total Payment Due for Your 2-Person Team

[  ]  $80.00 Main Tournament               [  ] $20.00 Beginners Tournament

Please accept our official entry into the 2011 World Championship tournament. Enclosed is our Entry Fee and contact Info.

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.

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Name

Name

Address  

Address  

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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. 

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Team Name or Both Player's Full Names

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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.

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 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 Tony Russo

Mail your registration to:

Tony Russo

1938 Squire Court

Wyomissing, PA 19610