NAME _________________________________________________________________

ADDRESS _____________________________________________________________

CITY, STATE ___________________________________________  ZIP ____________

PHONE ____________________________ BIRTH DATE _________________________

EXPECTED YEAR OF HIGH SCHOOL GRADUATION _____________

E-MAIL ADDRESS ______________________________________________

Highest current league average ____________     Highest 2019-20 league average ____________

I have also enclosed the $25 JBT membership fee for the 2020-21 season:       YES / NO


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

__________________________________________       __________        _______________

_________________________________________         __________        _______________

_________________________________________         __________        _______________

For further information, contact: Chuck Pezzano Jr.
E-Mail: JBTBoss1@aol.com             Phone: (201) 669-6750

JBT SINGLES EVENT ENTRY BLANK