Senior Doubles

Holiday Lanes, 4589 E. Broad St, Columbus, Ohio 43213

June 5, 6, 7, 12, 13

Entry fee - $40 per team

YOU MUST BE A MEMBER OF THE CENTRAL OHIO USBC

*You have to bowl singles if you want to bowl mixed doubles

*Doubles pairs wishing to bowl together must enter together

*All events is 6 games of singles and highest doubles

Contact Name*

E-mail*

Phone Number*

Format: (000) 000-0000.

Address*

City*

Zip*

Pair 1

Pair 1 Date/Time*

Pair 1, Bowler 1*

USBC ID*

Average*

Date of Birth*

Phone Number*

Format: (000) 000-0000.

All Events

Yes

Pair 1, Bowler 1 Fees

Pair 1, Bowler 2*

USBC ID*

Average*

Date of Birth*

Phone Number*

Format: (000) 000-0000.

All Events

Yes

Pair 1, Bowler 2 Fees

Pair 2

Pair 2 Date/Time

Pair 2, Bowler 1

USBC ID

Average

Date of Birth

Phone Number

Format: (000) 000-0000.

All Events

Yes

Pair 2, Bowler 1 Fees

Pair 2, Bowler 2

USBC ID

Average

Date of Birth

Phone Number

Format: (000) 000-0000.

All Events

Yes

Pair 2, Bowler 2 Fees

Pair 3

Pair 3 Date/Time

Pair 3, Bowler 1

USBC ID

Average

Date of Birth

Phone Number

Format: (000) 000-0000.

All Events

Yes

Pair 3, Bowler 1 Fees

Pair 3, Bowler 2

USBC ID

Average

Date of Birth

Phone Number

Format: (000) 000-0000.

All Events

Yes

Pair 3, Bowler 2 Fees

Total Fees

Electronic Processing Fee

Total Amount Due

PLEASE REVIEW YOUR ENTRY BEFORE SUBMITTING!

Form Name

The entrants whose names appear hereon or their authorized replacements hereby agree that the Central Ohio - USBC Association, its officers and agents shall be liable only to the extent of returning entry fees if and when these entrants shall be prevented from bowling any event in the tournament through delay, unexpected yet necessary schedule change, or premature termination of the tournament, which may be brought about by war, national emergency or emergencies of causes relating thereto or resulting from, fires, strikes, lockout, or labor difficulties beyond the control of the Central Ohio - USBC Association.

Amount to Charge

USDDescription

Credit Card

First Name

Last Name

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Billing Address

Street Address

Street Address Line 2

City

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Postal / Zip Code

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