WESTERN BCA 9-BALL CHAMPIONSHIPS — SINGLES ENTRY

Singles play begins Tuesday, October 10, 2017. See event schedule or online brackets for each division's start time. All times/matches online are subject to change without notice. Dress Code will be strictly enforced when referees are present on the tournament floor. Juniors must wear wristband provided by CW security/WBCA at all times. Failure to abide by the policies outlined in the Player Information Sheet or Tournament Policies may result in immediate expulsion from this tournament. ANY PLAYER WHO HAS NEVER ENTERED BEFORE MUST CHECK THE UNDERLINED BOX ABOVE NAME BELOW.

 

PLAYER INFORMATION
Check here if 1st WBCA Tournament   If I am a Junior (under 21), My DOB is:
Name:   Phone:  
Email:   CW Winners Circle #:  
Medical Dress Code Exemption:   If yes, my MD's letter is:  
ENTRY INFORMATION
Division Race* Entry Fee Green Fee** Total Fees
Men's GrandMaster/Master Singles 7 $65 $25 $90
Women's GrandMaster/Master Singles 6 $65 $20 $85
Men's A Singles 7 $50 $25 $75
Women's A Singles 5 $40 $15 $55
Men's B Singles 6 $35 $20 $55
Women's B Singles 5 $35 $15 $50
Men's Senior Singles - Birthdate FairMatch $50 $25 $75
Women's Senior Singles - Birthdate FairMatch $40 $10 $50
*Races may changed based on entries. **Green fees include table time for this event, 2nd chance, Fun Night, mini-tournaments and practice.

Entries must be submitted through your League Operator. Make checks payable to Western BCA. All fees must accompany this form. Your cancelled check is your receipt. Entries must be postmarked or in the hands of your League Operator no later than September 4, 2017. Late entries must be postmarked by September 11 and include non-refundable late fee of $25. Any late entries must be paid with a money order or cashier's check, no personal checks will be accepted. No exceptions.Service charge for returned checks: $40.

By signing below, I, the above named entrant, stipulate that I am a Western BCA players in good standing, have paid my membership fees for the current year, have met the eligibility requirements for entry into this tournament and am entering in my proper division. My signature further indicates my agreement that my name and likeness may be reproduced for publication on the Western BCA website and in any media outlet, including the internet via live streaming, with which Western BCA contracts for informational and promotional purposes. I further understand that if I win any money in this event I will be required to provide a social security number or International ID before any funds are distributed. False information will result in immediate expulsion from the tournament and forfeiture of all fees and any winnings.

Signed:_______________________________________________________________________________________________Date___________________

League Operator: Review and verify entrant's information and eligibility. Must be signed. Signature below by anyone other than the entrant's League Operator will invalidate this entry. Send form + fee by date specified by the Tournament Registrar.

Signed:_______________________________________________________________________________________________Date: ____________________