LCA ENTRY FORM     Maple Leaf Shield
 ENTRY CLOSING DATE  November 4, 2007
 ELIGIBILITY  Centres 3 & 4
 TEAM COMPOSITIONS  Ten Point Teams
   OTHER  1 eight-end game. See Rules for this event for further details.
   
 DATES AND LOCATIONS		  
 
CENTRE  November 17, 2007 - Bedford Curling Club 
   
ENTRY FEE is $20.00 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:		 Valarie Van Horn 
593 de Venise Ave. West, Venise-en-Quebec, QC  J0J 2K0
 

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

CLUB NAME 

SKIP 
First Name  FAMILY NAME

THIRD 
First Name  FAMILY NAME

 SECOND
First Name  FAMILY NAME

 LEAD
First Name  FAMILY NAME