CA OPEN CHAMPIONSHIPS PARTICIPATION FORM

CA OPEN CHAMPIONSHIPS PARTICIPATION

CUSBC will present an award for participation in 25 or more state championships. Fill out this form when you reach 20 years. We will keep it on file. Email us at info@calusbc.com with any questions.
Date

MonthDayYear
Date
Name

First NameLast Name
USBC #
Address

Address

Address 2

CityState

Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Select all years of participation
Number of Years – Minimum of 20 years to submit
Comments
Should be Empty: