2018 WBCA 8-BALL CHAMPIONSHIPS - TEAM ENTRY


Team play begins Friday, March 16, 2018 in the morning. 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.

Printing instructions: Please use print button at the bottom of the page. Scale to fit on 2 pages and print on both sides if you can.



TEAM NAME: (additional players can be added at Team Registration)
CAPTAIN PLAYER 2
Name: Name:
Email: Phone: Email: Phone:
League:   League:  
Fargo Rating: Fargo Rating:
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
PLAYER 3 PLAYER 4
Name: Name:
Email: Phone: Email: Phone:
League:   League:
Fargo Rating: Fargo Rating:
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
PLAYER 5 PLAYER 6
Name: Name:
Email: Phone: Email: Phone:
League:   League:  
Fargo Rating: Fargo Rating:
If Junior/DOB: If Junior/DOB:
Dress Code Medical Exemption: Dress Code Medical Exemption:
If Yes my physician's letter is: on File or Attached If Yes my physician's letter is: on File or Attached
ENTRY INFORMATION
  Division Total Fargo Race* Entry Fee Green Fee** Total Fee
MEN'S/MIXED PLATINUM TEAMS (Fargo Cap = 3000) 13 $275 $50 $325
MEN'S/MIXED GOLD TEAMS (Fargo Cap = 2700) 13 $225 $50 $275
MEN'S/MIXED SILVER TEAMS (Fargo Cap = 2450) 11 $185 $50 $235
WOMEN'S PLATINUM TEAMS (Fargo Cap = 1950) 11 $220 $40 $260
WOMEN'S GOLD TEAMS (Fargo Cap = 1700) 9 $160 $40 $200
* 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.

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 6 and include non-refundable late fee of $25/person ($125-Men's/Mixed, $100-Women's). 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 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, are entering in our proper division and have read and understand the Player Information Sheet.. 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. If the above named players do not play for the same League Operator (Platimun Divisions), the Lo signing below verifies that the information is correct. Send form + fee by date specified by the Tournament Registrar.

Signed:______________________________________________________________________Date: ____________________