2004 PA STATE HORSESHOE PITCHING CHAMPIONSHIPS

ROXBURY, PA

September 3, 4, 5, 6, 2004

 

OFFICIAL ENTRY FORM

 

 

Name ____________________________________________________ Date of Birth _______________________

Address ____________________________________________________________________________________________

City/State _________________________________________________ Zip _______________________________

Home Phone _______________________________________________ Work Phone _______________________

2004 N.H.P.A. Card # ________________________________________

Any registration postmarked after August 18, 2004, will be put on a waiting list in case of dropouts.
NO PHONE REGISTRATIONS ACCEPTED.

 

You must have competed in three (3) sanctioned NHPA competitions within the time frame of the 2003 State Tournament until August 18, 2004.

 

NO REFUNDS AFTER AUGUST 20, 2004.

 

FEES: Class “A” Men $25.00 Class “A” Women $25.00

Elders 30 Ft. $25.00 Senior Men $25.00

Senior Women $25.00 Juniors $15.00

 

(“A” Class Men top 16 percentages)

(“A” Class Women top 8 percentages)

(Elders 30 Ft., top 8 percentages)

(Senior Men and Women, top 8 percentages)

(Juniors, top 8 percentages)

 

ALL THE ABOVE CLASSES ARE CHAMPIONSHIP CLASSES

 

 

ALL OTHER CLASSES $25.00 (8 pitchers, where possible)

 

 

You can compete in only one Division. Please check the Division you are registering for:

 

 

1. Open Men ________ 2. Open Women _________ 3. Senior Men _______

4. Senior Women ________ 5. Elder Women _________ 6. Elder Men 30 Ft. _______

7. Juniors ________

SCOREKEEPING FEE: $1.00 PER GAME

 

SIGNATURE: _________________________________________________

Make Checks Payable to Allan E. Gipe

 

Mail To: Allan E. Gipe, 10208 Newburg Road, Orrstown, PA 17244