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
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Mail in completed Team Entry Form with Team Registration number,
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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!!