ENTRY NUMBER ___________ KBA ENTRY FORM AMOUNT PAID________
Team Name _______________________________________________________________ INITIALS    _________
Captain ______________________________________________ Phone No. ________________________
 FIVE MAN TEAM   PRINT FULL NAME                                                Division    1/1 Avg.  08-09 Avg.
1.                                                                                                        R  S    
2.                                                                                                R  S    
3.                                                                                                        R  S    
4.                                                                                                  R  S    
5.                                                                                                        R  S    
R - REGULAR OR S - SENIOR DIVISION
Team Dates: Team Date Choices:
Sat., February 13 & 20 - 11:30 a.m. - 3:00 p.m. - 6:30 p.m.
Sun., February 14 & 21 - Noon - 3:30p.m. 1st Date & Time _______________
Entry Fee One Division …………………… $ 85.00 ($17 per man) 2nd Date & Time ______________
Entry Fee Both Regular & Senior ………. $125.00 ($25 per man)
 Singles & Doubles         Full Name                                                    Doubles  1/1 Avg.  08-09 Avg.  Singles
1.                                                                                                        R  S      R  S
2.                                                                                                        R  S      R  S
1.                                                                                                        R  S      R  S
2.                                                                                                        R  S      R  S
1.                                                                                                        R  S      R  S
2.                                                                                                        R  S      R  S
R - REGULAR OR S - SENIOR
Singles & Doubles Dates Singles & Doubles Choice
Sat., February 27, March 6, 13 & 20 ……………. 11:00a.m. - 3:00p.m.
Sun., February 28, March 7, 14 & 21 ….....…….. 12:00p.m. - 4:00p.m. 1st Date & Time ______________
Entry Fee Singles & Doubles (each man) …………………….. $34.00 2nd Date & Time _____________
Entry Fee Multiple Doubles (each man) ………………………. $17.00
                       
Seniors in Both Divisions pay Additional $8 Singles and/or $8 Doubles
Senior Division - 55 or older as of January 1, 2010 Senior Divisions:
A (55-59)  B (60-69)  C (70 & older)
All Bowlers Must Bowl Singles and Doubles Before Any Multiple Doubles.
Everyone is Automatically Entered in All Events.
Entered in  Per Man [both divisions]       Total
1Team 5 pay $17.00 [$25.00] $85.00 [$125.00]
1Team, 1D,2S 2 pay $51.00 [$75.00] 3 pay $17.00 [$25.00] $153.00 [$225.00]
1Team, 2D,4S 4 pay $51.00 [$75.00] 1 pay $17.00 [$25.00] $221.00 [$325.00]
1Team, 3D,6S 5 pay $51.00 [$75.00] 1 pay $34.00 [$50.00] $289.00 [$425.00]
1D,2S 2 pay $34.00 [$50.00] $68.00 [$100.00]
2D,4S 4 pay $34.00 [$50.00] $136.00 [$200.00]
Tournament Information Contact Steve Osenga
(815) 933-2136       cell (815) 735-5934         e-mail sosenga@sbcglobal.net