2023 TEAM ENTRY FORM

Age Division & Team Classification:

Enter Division, using SPA RATING (if no SPA rating, put not rated)________________________

Senior Men’s 50+AAA, 55+AAA, 60+AA, 60+AAA, 65+AA, 65+AAA, 70+AA, 70+AAA, 75+AAA/M, 80+AAA

 Team Name: _____________________________ S.P.A. Team Sanction #______________________

Manager Name:________________________________________________________

Address:_______________________________________________________________

City _________________________ST/Prov______________Zip/postal_____________

Telephone # Residence ______/_____________________

Cell ______/_______________________

Business _________/______________________________

E-mail Address: _________________________________________________________________

HOTEL____________________________________________________________

PHONE #____________________________________ ROOM#_______________

CONTACT NAME AT TOURNAMENT/_______________________________________

PHONE NUMBER AT TOURNAMENT/_______________________________________

ALTERNATE CONTACT DURING TOURNAMENT AND PHONE NUMBER __________________________________________________________________________

Team Check List

1. Mail in completed Team Entry Form with Team Registration number,

2. Mail entry fee (Please make payable to Mike Cairns) Deadline MAY 1, 2023 

Mail to:Mike Cairns 13654 Amodio Ave NW, Uniontown, OH 44685

Team Entry Fee:  $500

Mike Cairns: (330) 608-7007 (CELL)

m56chevy@aol.com

TO GOD BE THE GLORY!!