Adult League Registration Form

Name*

First NameLast Name

Male or Female*

MaleFemale

Birthdate*

Date

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

What kind of League are you looking for?*

Men's ONLYWomen's ONLYMixed

What days/nights of the week are you looking for?*

Your reasoning for joining a league?*

Comments, Questions, or Concerns:

Some of our Adult Leagues REQUIRE USBC Membership cards to be completed. USBC dues are a one-time yearly fee of $22.00 & can only be paid in-person, in cash. This payment is forwarded by us to the Anthracite Valley USBC.

**ALL LEAGUE PAYMENTS MUST BE MADE IN CASH**

Adult Leagues are for 18 years of age and older. Some of our Adult Leagues are designated for 21 and older ONLY.

**Please give us a couple days to recieve your application. You will then get a phone call/email from a League Coordinator. Filling out the registration does NOT guarantee a spot on a league. A League Coordinator will contact you directly about the placement in a league that will best fit you. Registration is based on "First Come, First Serve" basis and available space. **

Signature*