Skips contact
information:
Email:__________________________________
Address: __________________________________
Phone: _________________________________ __________________________________
Work Phone: ____________________________
__________________________________
Skip:__________________________________
Third: ____________________________________
Second: _______________________________
Lead: ____________________________________
Home Club:
____________________________ Team
Name: ______________________________
Preferred first
Draw (Assigned in the order the check is received)
Friday, 7:00
PM _____ Friday, 9:15 PM _____ Saturday, 8:00 AM _____
Please
make your check ( $160 per team ) payable to: Potomac Curling
Club
Send entry form and check to:
Barry Nichols
1576 Marco Drive
Pasadena, MD 21122