Singles play begins Monday, March 12, 2018/7p. 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 on the Player Information Sheet or in the Tournament Policies may result in immediate expulsion from this tournament. ANY PLAYER WHO HAS NEVER ENTERED BEFORE MUST CHECK THE UNDERLINED BOX BELOW.

Printing instructions: Please use print button at the bottom of the page. Scale to fit on 1 page.

Check here if 1st WBCA Tournament  
Name: If I am a Junior (under 21), My DOB is:
Email: Phone:
Fargo Rating:  
Medical Dress Code Exemption: If yes, my MD's letter is:

  Class Race Entry Fee Green Fee Total Fee
  ELITE OPEN (Open to any WBCA player but players with a
    Fargo # of 626 and above must enter this division)
7 $100 $20 $120
  DIVISIONAL (Only for players with Fargo# of 625 and below. Placement into
    six divisions based on Fargo # after all entries are in)
varies $50 $20 $70

All PAPER 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 February 2, 2018. Late entries must be postmarked by February 9 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: $40.00.

By signing below, I, the above named entrant, stipulate I am a Western BCA player in good standing, have paid my membership fees for the current year, have met the eligibility requirements for entry into this tournament, am entering in my proper division and have read and understand the Player Information Sheet. 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 may 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: ____________________