Great River Open Entry Form

1. COMPLETE THE FOLLOWING

NAME

ADDRESS:

 

CITY:                                                                 STATE:                                             ZIP:

EMAIL:                                                                                 PHONE:

Let us enhance your experience by maintaining a customer file for you and keeping you up to date about specials, programs and upcoming events or tournaments. By including my email I authorize Riverboat Lanes to collect this information and use it to maintain its relationship with me and to contact me regarding specials, programs and upcoming events and tournaments. I authorize Riverboat Lanes to send me communications by email.

FRIENDS/AMATEURS I'D LIKE TO BOWL WITH:

DISCLAIMER/WAIVER:

I understand and agree that Riverboat Lanes shall not be liable, in any way, for personal injury suffered by me and/or any other participant before, during or after the event. Anyone who has held a PBA Membership Card in the past 5 years will not be eligible for this tournament.

 

2. SELECT DAY & TIME

    Riverboat Lanes

                 Friday, April 11  Shift 1 i   6:30 p.m.   Shift 2   i  10:30 p.m.  

                 Pro-Youth   Saturday, April 12             i  8:00 a.m. - $70.00         Shift 2   i  1:30 p.m.                 

                 

 

3. SELECT PAYMENT

            METHOD OF PAYMENT

       i  CASH               i  CHECK               i  DISCOVER               i  V ISA               i  MASTER CARD

CARD NUMBER                                                                 EXP:                             SIG.

NAME AS IT APPEARS ON CARD: