Please fill out form COMPLETELY and mail with
$500 payment
& average verifications to:
JWTC, 3808 S Yakima
Ave., Tacoma, WA 98418
Entries must be
postmarked by May 11, 2012
(USPS,
UPS, FedEx, etc. may be used)
or you
may FAX to (253)830-0139 and pay online using
www.paypal.com -- go to ENTRY
INFO for details! Or click here for ONLINE
ENTRY FORM
Make
checks payable to: Junior World Team Challenge or JWTC
PRINT ALL INFORMATION CLEARLY & NEATLY
NOTE: Social Security # is
required to be eligible to receive scholarship awards - if information is
not provided, awards earned may be forfeited without notice. For security
purposes, if you prefer, you may call Steve at (253)475-1884 to give this
information by phone. Bowlers who competed in 2010 do not need to provide
SS # as we have it on file.
Note: Bowlers must
bowl the first 5 games of regular bowling in the order listed on the entry form!
PLEASE PROVIDE AN EMAIL ADDRESS FOR EACH
BOWLER or HIS/HER PARENT to receive important info.
2012 Entry Form - June 21-24, 2012 - Suncoast Bowling
Center - Las Vegas, NV
|
E-mail address
to receive information for team:
____________________________________________________________
This is REQUIRED
-- as all important information will be sent electronically to this
address
Team
Name: __________________________
Team Average:
_____
No
acronyms
allowed
Total of Highest 5 averages on roster
Division: circle
one: Limited (verified avg 949 & under) or
Unlimited
|
|
Bowler 1____________________________ Phone (____)___________
Average ____ M/F ___
Address:______________________________________ City_______________________
State _______ Zip __________ Social Sec. #________________
E-mail:___________________________
USBC # ____________________ Age of as August 1,
2011:_____________ Birth date: _____________
Are you a PBA Member? [ ] Yes [ ] No
Have you ever been a PBA member? [ ] Yes [ ] No
I hereby consent to the Photo Release form as stated on
the website. [ ]Yes
[ ]No |
Bowler
2____________________________ Phone (____)___________
Average ____ M/F___
Address:______________________________________ City
_______________________
State ______ Zip ___________ Social Sec. #___________________
E-mail:________________________
USBC # ____________________ Age of as August 1,
2011:_____________ Birth date: _____________
Are you a PBA Member? [ ] Yes [ ] No
Have you ever been a PBA member? [ ] Yes [ ] No
I hereby consent to the Photo Release form as stated on
the website. [ ]Yes
[ ]No |
Bowler
3____________________________ Phone (____)___________
Average ____ M/F___
Address:______________________________________ City
_______________________
State ______ Zip ___________ Social Sec. #___________________
E-mail:________________________
USBC # ____________________ Age of as August 1,
2011:_____________ Birth date: _____________
Are you a PBA Member? [ ] Yes [ ] No
Have you ever been a PBA member? [ ] Yes [ ] No
I hereby consent to the Photo Release form as stated on
the website. [ ]Yes
[ ]No |
Bowler
4____________________________ Phone (____)___________
Average ____ M/F___
Address:______________________________________ City
_______________________
State ______ Zip ___________ Social Sec. #_______________________
E-mail:____________________
USBC # ____________________ Age of as August 1,
2011:_____________ Birth date: _____________
Are you a PBA Member? [ ] Yes [ ] No
Have you ever been a PBA member? [ ] Yes [ ] No
I hereby consent to the Photo Release form as stated on
the website. [ ]Yes
[ ]No |
Bowler
5____________________________ Phone (____)___________
Average ____ M/F___
Address:______________________________________ City
_______________________
State _____ Zip ____________ Social Sec.#____________________
E-mail:________________________
USBC # ____________________ Age of as August 1,
2011:_____________ Birth date: _____________
Are you a PBA Member? [ ] Yes [ ] No
Have you ever been a PBA member? [ ] Yes [ ] No
I hereby consent to the Photo Release form as stated on
the website. [ ]Yes
[ ]No |
|
Alternate____________________________ Phone (____)__________
Average ____ M/F___
Address:______________________________________ City
_______________________
State _____ Zip ____________ Social Sec. #____________
E-mail:________________________
USBC # ____________________ Age of as August 1,
2010:_____________ Birth date: _____________
Are you a PBA Member? [ ] Yes [ ] No
Have you ever been a PBA member? [ ] Yes [ ] No
I hereby consent to the Photo Release form as stated on
the website. [ ]Yes
[ ]No |
|
Team coach must be listed on entry and in dress code
compliance to be in the settee area with bowlers.
Coach Name: ______________________________ Phone:
(_____)_________________
Signature to verify Averages:_______________________________
Required for Limited Division
Coach's E-Mail: ___________________________
Team Captain: ___________________________ Bowling
Center: ____________________
Name of parent or chaperone who is traveling with the
team: _________________________________
.
|
Number of entries is limited -- entries will be accepted in order
received and must be accompanied by full payment. All entries must be
postmarked by May 11, 2012.
See Entry Information
on how to send entry by fax & payment by PayPal (through Internet).
If entries are sent in prior to average cut-off date (April
1, 2012) -
Average verifications must be postmarked or faxed
to (253)830-0139 by May
11, 2012.
All entries mailed on/after April 1 must include
average verification WITH the entry form.
