OFFICIAL ENTRY FORM 2005

Name:

Address:

Town / City: Province:

Postal Code: Phone:

E-mail Address: Date of Birth:

Signature: Horseshoe Canada Card #

Number of Banquet Tickets Required: (Pay for them at the Banquet Table)

Classes: (Please circle ONE Division)

1. Junior Girls 2. Junior Boys 3. Open Ladies 4. Open Men

5. Senior Men 30 foot 6. Senior Men 40 foot 7. Senior Ladies

Are you a Provincial Champion? Yes No

(Provincial Champion will be entered in their respective Championship Class unless otherwise indicated)

SCOREKEEPING: Are you willing to keep Score keep when not pitching? Yes___ No___

Spouse or Family member to keep score: NAME________________________

Please Read carefully

1. If your date of birth is January 1, 1987 or later you may register in the Junior Boys or Junior Girls Classes.
2. Men must be 65 years or older as of January 1 to register for the Senior Men 30 foot Class
3. Men may register in the Open Men Class regardless of age if you are pitching from 40 feet.
4. Men may register for Senior Men 40 Foot Class if you are 60 years or older as of January 1
5. Ladies must be 60 years or older as of January 1 to register in the Senior Ladies Class.
6. You may only register in one class.
7. You must wear your name and province on the back of your shirt during pitching. Letters must be at least 2” high.

Entries and Entry Fee ($50.00) must be received by the Tournament Director no later then June 30, 2005. If you have not received confirmation of your entry by July 7, please contact
the Tournament Director @ 403-236-8220 or e-mail djbeck@shaw.ca

Mail Entries to:
Dianne Beck, Tournament Director
721, Pentecost Bay, Calgary, AB T1X 1L4
Fax # 403-236-4803
OR e-mail to e-mail address above

Faxed or emailed entries must be followed by payment within 7 days.

Cheques or money orders made payable to Horseshoe Canada.