Grade Round Section
Home Away
Side Side
Rink Players Name & RNSWBA Rego # Score Score Ends
RNSWBA Reg # RNSWBA Reg #
RNSWBA Reg # RNSWBA Reg #
RNSWBA Reg # RNSWBA Reg #
RNSWBA Reg # RNSWBA Reg #
RNSWBA Reg # RNSWBA Reg #
RNSWBA Reg # RNSWBA Reg #
RNSWBA Reg # RNSWBA Reg #
RNSWBA Reg # RNSWBA Reg #
RNSWBA Reg # RNSWBA Reg #
RNSWBA Reg # RNSWBA Reg #
RNSWBA Reg # RNSWBA Reg #
RNSWBA Reg # RNSWBA Reg #
I certify this information is correct I certify this information is correct
Signature Home Side Manager
RNSWBA Reg # RNSWBA Reg #
RNSWBA Reg # RNSWBA Reg #
Coach Coach
Signature Away Side Manager Side
Manager Side Manager
Points Points
Rinks Won
Rinks Won Total
Shots
Total Shots
Total Ends Completed
S S
2 2
3 3
S
L L
2 2
3 3
L L
S
S S
2 2
3 3
Players Names & RNSWBA Rego #
L L
sign it and forward to the Controlling Body (District / Zone) as per the instructions of the Controlling Body Please complete this form in BLOCK LETTERS
Date Venue
