2015 TAP Nationals 9 Ball Team Registration

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1 2015 TAP Nationals 9 Ball Team Registration Licensees: Please complete this form and submit with payment to be received by Oct. 5 th. No Entries will be accepted after this date/midnight. All checks should be submitted with this form, made payable to TAP, LLC and sent to P.O. Box 574, Halifax, PA Fee is $ per team. Any questions, please kelly@tapleague.com. PayPal can be used, contact Kelly for Details. S MUST HAVE A CURRENT TAP MEMBERSHIP CARD WITH THEM OR THEY WILL NOT BE ALLOWED TO PLAY. ID CAN BE VERIFIED BY THE CAPTAINS OF THE TEAMS, THEY ARE PLAYING. Licensees; It is your responsibility to make sure all National Team Players from your territory have their current TAP Memberships, prior to the event; That they meet all National Requirements and have Won Their Trips. Completion of this form is verification of this. Also, you must have at least 15 teams for each team that you send, in the format you are sending them in. Player must have 6 matches played from June 15 rd to Oct. 5 th, played in session qualified, have 10 lifetime matches, be on an active roster. All matches must be in Pool Net and Tournament Module must be used for the qualifying tournaments. Please see National Requirements listed in rulebook. LICENSEE NAME: LICENSEE ID # Jeff & Cindy Chappell 87 LICENSEE TERRITORY NAME: TAP Las Vegas STATE/PROV. NV TEAM NAME : Cheers 2 U TEAM CAPTAIN S NAME & PHONE Donna Schwitters, CAPTAIN S donnakdrln@aol.com 1 ID # 2 ID # 3 ID # 4 ID # 5 ID # 6 ID # 7 ID # 8 ID # ANY - SMART PHONE/TABLET? Y OR N TYPE? yes, Android Jim Carmona Scott Moden Tina Moden William Fisher Donna Schwitters Nathan Merrell SESSION QUALIFIED: (CIRCLE ONE) SPRING SUMMER FALL (CIRCLE ONE) YEAR 2014 YEAR 2015

2 2015 TAP Nationals 8 Ball Team Registration Licensees: Please complete this form and submit with payment to be received by Oct. 5 th. No Entries will be accepted after this date/midnight. All checks should be submitted with this form, made payable to TAP, LLC and sent to P.O. Box 574, Halifax, PA Fee is $ per team. Any questions, please kelly@tapleague.com. S MUST HAVE A CURRENT TAP MEMBERSHIP CARD WITH THEM OR THEY WILL NOT BE ALLOWED TO PLAY. ID CAN BE VERIFIED BY THE CAPTAINS OF THE TEAMS, THEY ARE PLAYING. Licensees; It is your responsibility to make sure all National Team Players from your territory have their current TAP Memberships, prior to the event; That they meet all National Requirements and have Won Their Trips. Completion of this form is verification of this. Also, you must have at least 15 teams for each team that you send, in the format you are sending them in. Player must have 6 matches played from June 15th to Oct 5 th, played in session qualified, have 10 lifetime matches, be on an active roster. All matches must be in Pool Net and Tournament Module must be used for the qualifying tournaments. Please see National Requirements listed in rulebook. LICENSEE / OPERATOR NAME: LICENSEE ID # Jeff & Cindy Chappell 87 LICENSEE TERRITORY / LEAGUE NAME: STATE/PROV. TAP Las Vegas NV TEAM NAME : TEAM CAPTAIN S NAME & PHONE: CAPTAIN S ANY SMART PHONE / TABLET? Y OR N TYPE: 1 ID # 2 ID # 3 ID # 4 ID # 5 ID # 6 ID # 7 ID # 8 ID # Chalk's Free Connie Foschi, phommystyle@gmail.com Bob Cauley Brian DeLuca Android smart phone Connie Foschi Andrew Wilhems Sophia Briski Jenna Wilhems SESSION QUALIFIED: (CIRCLE ONE) SPRING SUMMER FALL (CIRCLE ONE) YEAR 2014 YEAR 2015

3 2015 TAP Nationals 8 Ball Team Registration Licensees: Please complete this form and submit with payment to be received by Oct. 5 th. No Entries will be accepted after this date/midnight. All checks should be submitted with this form, made payable to TAP, LLC and sent to P.O. Box 574, Halifax, PA Fee is $ per team. Any questions, please kelly@tapleague.com. S MUST HAVE A CURRENT TAP MEMBERSHIP CARD WITH THEM OR THEY WILL NOT BE ALLOWED TO PLAY. ID CAN BE VERIFIED BY THE CAPTAINS OF THE TEAMS, THEY ARE PLAYING. Licensees; It is your responsibility to make sure all National Team Players from your territory have their current TAP Memberships, prior to the event; That they meet all National Requirements and have Won Their Trips. Completion of this form is verification of this. Also, you must have at least 15 teams for each team that you send, in the format you are sending them in. Player must have 6 matches played from June 15th to Oct 5 th, played in session qualified, have 10 lifetime matches, be on an active roster. All matches must be in Pool Net and Tournament Module must be used for the qualifying tournaments. Please see National Requirements listed in rulebook. LICENSEE / OPERATOR NAME: LICENSEE ID # Jeff & Cindy Chappell 87 LICENSEE TERRITORY / LEAGUE NAME: STATE/PROV. TAP Las Vegas NV TEAM NAME : Knuckleheads TEAM CAPTAIN S NAME & PHONE: CAPTAIN S ANY SMART PHONE / TABLET? Y OR N TYPE: 1 ID # 2 ID # 3 ID # 4 ID # 5 ID # 6 ID # 7 ID # 8 ID # John Stanelle jstanelle@wi.rr.com Jim Blakeman Larry Long Zeke De Rose Joe Cave Android Smart Phone & ipad William Tuczynski John Stanelle Jay Adelstone SESSION QUALIFIED: (CIRCLE ONE) SPRING SUMMER FALL (CIRCLE ONE) YEAR 2014 YEAR 2015

4 2015 TAP Nationals 8 Ball Team Registration Licensees: Please complete this form and submit with payment to be received by Oct. 5 th. No Entries will be accepted after this date/midnight. All checks should be submitted with this form, made payable to TAP, LLC and sent to P.O. Box 574, Halifax, PA Fee is $ per team. Any questions, please kelly@tapleague.com. S MUST HAVE A CURRENT TAP MEMBERSHIP CARD WITH THEM OR THEY WILL NOT BE ALLOWED TO PLAY. ID CAN BE VERIFIED BY THE CAPTAINS OF THE TEAMS, THEY ARE PLAYING. Licensees; It is your responsibility to make sure all National Team Players from your territory have their current TAP Memberships, prior to the event; That they meet all National Requirements and have Won Their Trips. Completion of this form is verification of this. Also, you must have at least 15 teams for each team that you send, in the format you are sending them in. Player must have 6 matches played from June 15th to Oct 5 th, played in session qualified, have 10 lifetime matches, be on an active roster. All matches must be in Pool Net and Tournament Module must be used for the qualifying tournaments. Please see National Requirements listed in rulebook. LICENSEE / OPERATOR NAME: LICENSEE ID # Jeff & Cindy Chappell 87 LICENSEE TERRITORY / LEAGUE NAME: STATE/PROV. TAP Las Vegas NV TEAM NAME : Shark Shooters TEAM CAPTAIN S NAME & PHONE: CAPTAIN S ANY SMART PHONE / TABLET? Y OR N TYPE: 1 ID # 2 ID # 3 ID # 4 ID # 5 ID # 6 ID # 7 ID # 8 ID # Bill Kurr billkurr@yahoo.com (702) yes...android and ipad Joseph Cannella Dean Howell Zeke De Rose Bill Kurr Alfredo Martinez Michael Holland Elmer "Bill" Kurr SESSION QUALIFIED: (CIRCLE ONE) SPRING SUMMER FALL (CIRCLE ONE) YEAR 2014 YEAR 2015

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12 2015 NATIONALS 8, 9 & 10 BALL SINGLES REGISTRATION FORM S I LICENSEES: Please complete this form and submit with the payment to be received by OCT 5th. No Entries will be accepted after this date/midnight, no exceptions or sign-ups wlll be taken at this event. All Checks should be submitted, with this form made payable to TAP, LLC and sent to P.O. Box 574, Halifax, PA NO FAXES PLEASE. kelly@tapleague,com with any questions. S MUST HAVE A CURRENT TAP MEMBERSHIP CARD WITH THEM, OR THEY WILL NOT BE ALLOWED TO PLAY. ID CAN BE VERIFIED BY THE OPPONENTS IN YOUR EVENT. You must play in format to sign up. Fee is $125 per for ALL Handicap Brackets. This form is for 8, 9 and or 10 Ball, please circle appropriate box. Once handicaps determined, player will be put in the singles bracket handicap system determines. will be sent and notice published, Players will have 48 hours to have to decide if playing. After that, they will be kept in tournament or money will be returned. Must meet all national qualifications and requirements, please see rule book. Singles Events are Round Robin to Single Elimination. Players must have 6 matches played from June 15 "' to Oct. s. LICENSEE I OPERATOR NAME: JEFF & CINDY CHAPPELL LICENSEE TERRITORY/ LEAGUE NAME: TAP LAS VEGAS NAME: )OE CAVE )GREATAMERICAN@AOL.COM PHONE: ,.. SMART PHONE/TABLET? Yo LICENSEE ID# 87 STATE/PROV, NV TYPE: 8-BALL SINGLES HANDICAP B FEE HANDICAP 2 $ HANDICAPS HANDICAP6 HANDICAP? 9-BALL and or 10 BALL SINGLES HANDICAP BRACKET PLEASE CIRCLE 9 or 10 Ball & the Handica Bracket FEE HANDICAP HANDICAP HANDICAP $ Member ID HANDICAP : 3 ARE YOU IN THE TEAM EVENT ALSO? IF YES IS IT ONE TEAM OR TWO (PLEASE CIRCLE) ONE TEAM TEAM NAMES: Knuckleheads TWO TEAMS THE BELOW INFORMATION IS FOR OFFICE USE ONLY: A R

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