WESTERN BCA 9-BALL CHAMPIONSHIPS - TEAM ENTRY


Team play begins Friday, October 13, 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. ALL PLAYERS WHO HAVE NEVER ENTERED BEFORE MUST CHECK THE UNDERLINED BOX IN PLAYER LINES BELOW.



TEAM NAME: (additional players can be added at Team Registration)

 


CAPTAIN Check here if 1st WBCA Tournament PLAYER 2 Check here if 1st WBCA Tournament
Name: Name:
Email: Email:
Phone: Phone:
If Junior/DOB: If Junior/DOB:
Dress Code Medical Exemption: Dress Code Medical Exemption:
If Yes physician's letter is: on File or Attached If Yes physician's letter is: on File or Attached
CW Winners Circle #: CW Winners Circle #:

 


PLAYER 3 Check here if 1st WBCA Tournament PLAYER 4 Check here if 1st WBCA Tournament
Name: Name:
Email: Email:
Phone: Phone:
If Junior/DOB: If Junior/DOB:
Dress Code Medical Exemption: Dress Code Medical Exemption:
If Yes physician's letter is: on File or Attached If Yes my physician's letter is: on File or Attached
CW Winners Circle #: CW Winners Circle #:





ENTRY INFORMATION
Division Race* Entry Fee Green Fee** Total Fee
Men's/Mixed Teams (1 GM/Master per team only) 11 $135 $75 $210
Women's Teams (1 GM/Master per team only) 9 $120 $60 $180
Men's/Mixed B Teams (No GM/Masters allowed) 11 $105 $60 $165
* Races subject to change based on entries. **Green fees include table time for this event,
2nd chance tournaments, Fun Night events, mini-tournaments and practice.
Total:

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/person ($75). 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 team captain, stipulate that we are Western BCA players in good standing, have paid our membership fees for the current year, have met the eligibility requirements for entry into this tournament and are entering in our proper division. My signature further indicates my agreement that our names and likenesses 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. We further understand that if we win any money in this event we will each be required to produce a social security number/international ID before any funds are distributed. False information may result in 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: ____________________