ONTARIO PROVINCIAL DOUBLES CHAMPIONSHIP

JUNE 17 & 18, 2006

Guelph Legion # 234

919 York Rd., Guelph

 (519) 822-1565

 

Entry Fee 30 & 40’ “A” CLASS $50.00 per team

All other classes $30.00 per team

Juniors no charge if BOTH partners are Juniors

Any Junior playing with an Adult must pay the required class entry fee and is not eligible for the Junior Trophy.

Proper name shirts are required

A team will consist of both players pitching at the same distance, and the combined average cannot exceed 120%.

 

An additional charge of $5.00 per team member will be added if your entry fee is received after the dead line. The schedule will be prepared 1 week after the deadline. If your entry fee has not been received by this date, your team will not be on the schedule. You will be put on a waiting list and will be contacted either by phone or email if we have space available for you to play. At this time you will be charged an additional $10.00 per team member, which must be paid in cash a minimum of 1 hour before playing time. This $10.00 fee is in addition to your entry fee. Entry forms must be completely filled in and signed.

NO FORMS – NO PLAY

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Send (S.A.S.E. or email for playing time) cheques payable to Horseshoe Ontario.

Entries: Wayne Becker 308-41 Pioneer Dr Kitchener ON N2P 1H2 Telephone:  (519) 896-6670   Email:  wbecker@sgci.com

Entry Deadline is May 28, 2006

 

PLAYER 1 ___________________________

MEMBERSHIP # ___________________

PLAYER 2 ___________________________

MEMBERSHIP # ___________________

Contact Information

 

NAME ______________________________

PHONE #  ________________________

ADDRESS ญญญญญญญญญญญญญ__________________________

ญญญญญญญญญญญญญ___________________________________

EMAIL ___________________________

 

CIRCLE (1)

40’

DIVISION

30’

DIVISION

JUNIOR

DIVISION

9 & UNDER

DIVISION

 

PARTICIPANTS LIABILITY RELEASE – In consideration of participating in such activity, I hereby waive, release and forever discharge Horseshoe Ontario Inc., all officers, employees, volunteers, agents servants of the afore stated organization, and all fellow participants of this event, for any and all action, cause of action, damage, loss or injury, which I may suffer as a consequence of participating in the Ontario Provincial Horsesshoe pitching tournaments.

 

Signed _______________________________________

Signed _______________________________________

For Participants of Minority Age (Under age 18 at time of registration

Parent/Guardian Signature ญญญญญญญญญญ_______________________

Emergency Phone Number _______________________

Parent/Guardian Signature ญญญญญญญญญญ_______________________

Emergency Phone Number _______________________