2025 STATE CHAMPS REPLACEMENT FORM

2025 Open & Women's Championships

4th STREET BOWL
1441 N. 4th Street
San Jose, CA 95112
(408) 453-5555

TEAM CAPTAIN NAME*

Team Captain E-mail*

Team Captain Phone*

Area CodeNumber

OPEN CHAMPIONSHIPSWOMEN'S CHAMPIONSHIPS

ENTRY #

SCHEDULED SQUAD TIMES*

Rows	TEAM DATE/TIME	SINGLES DATE/TIME
SQUAD TIME

TEAM ONLYSINGLES ONLYTEAM & SINGLES

ORIGINAL BOWLER'S NAME*

First NameLast Name

REPLACEMENT BOWLER'S NAME*

First NameLast Name

Replacement Bowler's USBC #*

Local Association*

Replacement Bowler's E-mail

Replacement Bowler's Phone*

Area CodeNumber

Replacement Bowler's Address*

Street Address

Street Address Line 2

CityState

Zip Code

AVERAGE INFORMATION*

Rows	HIGHEST USBC AVERAGE	AVERAGE TYPE	SPORT/CHAL. AVG?	ON RE-RATE LIST?	RULE #20 ACKNOWLEDGEMENT	IS CURR AVG 20+ PINS HIGHER THAN 2023-24 BOOK AVG?

USBC CERTIFIED TOURNAMENT AVERAGE RULE 14:

A) Highest 2023-24 USBC certified book average (minimum of 21 games). If none,

B) Highest 2024-25 USBC certified average (minimum 21 games) as of tournament date (sheet required if not posted on BOWL.com). If none,

C) Highest 2023-24 USBC certified Composite book average (minimum of 21 games). If none,

D) Scratch 220

FILE UPLOAD: Attached BOWL.com average profile

NOTES TO TOURNAMENT DIRECTOR: