JBT SINGLES EVENT ENTRY BLANK - PLEASE PRINT CLEARLY

Name _________________________________________________ Birth Date _____________________

Address ___________________________________________ Phone _(______)____________________

City _______________________________________________ State __________ Zip _______________

E-Mail Address ___________________________ Expected year of high school graduation _________ 

E-mail is used for important communications and making bowlers aware of special discounts and events

I HAVE ENCLOSED THE $25 FEE FOR MY 2011-12 JBT MEMBERSHIP: YES /  NO

Please enter me in the tournament (s) listed below                  Date            Scratch / Handicap

______________________________________________         _______      ___________________

______________________________________________         _______      ___________________

______________________________________________         _______      ___________________

Entry blank (with entry fee) is to be mailed to:

JUNIOR BOWLERS TOUR

198 Tenth Avenue

Hawthorne, NJ 07506

All checks are to be made payable to:   CHUCK PEZZANO JR.