SUBSTITUTION FORM - The Dutchman Bolony Bowling Tourney

The Dutchman Bolony Bowling Tourney
Team – Doubles – Singles
Amy Eiserman - Tournament Manager
1218 E Main St · Palmyra, PA 17078 (717) 838-6345 phone
info@DutchmanTourney.com
(717) 838-8940 Fax
Men and Women
SUBSTITUTION FORM
Team Events – Clearview Lanes
Singles/Doubles Events – Palmyra Bowling
Indicate which event(s) the substitute will bowl
Team Event
✔
Team Optional
✔
Singles & Doubles
Team Event Date
Time
Entry #
Single/Doubles Date
Time
Entry #
✔
Doubles Optional
✔
Bolony Bank
✔
Name of the ORIGINAL Bowler
Name of SUBSTITUTE Bowler
Gender Male or Female
Street
Birthday ___ /___ /____
City
St
Zip
Email address
(Circle one)
Are you 55+?
Social Security # _____ /____ /______
USBC #
Highest average previous season (21 games or more)
Is current ave (of 21 games+) 10+ pins? (List Ave)
Should the Tournament Director find, at anytime, that the above average has been falsified or presented incorrectly, the
team and or minor events entries involved will be subject to disqualification from the prize list as well as forfeiture of all
entry fees paid. As team captain, I hereby certify that I have contacted the above named substitute and that the
average presented is correct and complete.
Team Name
Print Team Captain Name
Substitutes Signature
Team Captains Signature
OFFICE USE ONLY
Changes complete by
Computer
Team Entry
Lane Schedule
Recaps
S/D Entry
Lost B/B