LCA ENTRY FORM     Centennial – Mary McGuire
 ENTRY CLOSING DATE  October 22, 2010
 ELIGIBILITY  Curlers 55 years of age and older.
 TEAM COMPOSITIONS  Composite Teams allowed.
   OTHER  2 games guaranteed. See Rules for this event for further details.
   
 DATES AND LOCATIONS		  
 
DISTRICT PLAYDOWNS  November 2, 2010 - Town of Mount Royal Curling Club 
DISTRICT FINAL   November 10, 2010 - Pointe Claire Curling Club 
CHAMPIONSHIP   November 11, 2010 - Hudson Legion Curling Club
   
ENTRY FEE is $60.00 per team
 

Enclosed cheque(s) made Payable to Event Convenor/Chairperson for a total amount of
$  to cover entry fees for all teams.
EVENT CONVENOR/CHAIRPERSON:
Angela Geoffredo
82 Cortland, Chateauguay, QC J6J 1V4
Tel: 450-691-6934
email: a.geoffredo1@sympatico.ca

TEAM ENTRY data and ENTRY FEES must be received by the Event Convenor/Chairperson by the ENTRY CLOSING DATE.

 CLUB NAME 
 TEAM #

 1

 2

 3

 4
 SKIP        
 THIRD        
 SECOND        
 LEAD