Mail to: Fax or Email to: GHUSBC 2616 Houston Blvd South Houston, TX 77587-5149 Phone: 713-874-1277 [email protected] Fax # 713-524-3186 Phone # 713-874-1277 ADULT Special Achievement Award Application Center Name: Center #: Center Address: Competition Type: Event Cert. Number: League/ Tourn Name: Official’s Signature: League Contact Number: Tournament Modified Format* Average Based Achievements: Use previous season’s averages until current 12 game average is established. Bowler Name: * must attach scoresheet USBC #: Date Bowled: MM/ DD/ YY 125 GAME (100 AVG OR LESS) 150 GAME (120 AVG OR LESS) 175 GAME (135 AVG OR LESS) 200 GAME (160 AVG OR LESS) 225 GAME (180 AVG OR LESS) 250+ GAME (190 AVG OR LESS) 100 pins over average game Game 1 Game 2 Game 3 Series ACHIEVEMENT/ AWARD (CHECK ALL THAT APPLY) 350 SERIES (100 AVG OR LESS) 400 SERIES (115 AVG OR LESS) 450 SERIES (130 AVG OR LESS) 500 SERIES (140 AVG OR LESS) 550 SERIES (150 AVG OR LESS) 600 SERIES (165 AVG OR LESS) 650 SERIES (180 AVG OR LESS) 700+ SERIES (190 AVG OR LESS) 150 pins over average series Bowler Name: Average # Games 199 On the Nose (165 avg or less) All Spare game 7/10 Split Big 4 Triplicate Dutch 200 USBC #: Date Bowled: MM/ DD/ YY 125 GAME (100 AVG OR LESS) 150 GAME (120 AVG OR LESS) 175 GAME (135 AVG OR LESS) 200 GAME (160 AVG OR LESS) 225 GAME (180 AVG OR LESS) 250+ GAME (190 AVG OR LESS) 100 pins over average game Game 1 Game 2 Game 3 Series ACHIEVEMENT/ AWARD (CHECK ALL THAT APPLY) 350 SERIES (100 AVG OR LESS) 400 SERIES (115 AVG OR LESS) 450 SERIES (130 AVG OR LESS) 500 SERIES (140 AVG OR LESS) 550 SERIES (150 AVG OR LESS) 600 SERIES (165 AVG OR LESS) 650 SERIES (180 AVG OR LESS) 700+ SERIES (190 AVG OR LESS) 150 pins over average series Bowler Name: Average # Games 199 On the Nose (165 avg or less) All Spare game 7/10 Split Big 4 Triplicate Dutch 200 USBC #: Date Bowled: MM/ DD/ YY 125 GAME (100 AVG OR LESS) 150 GAME (120 AVG OR LESS) 175 GAME (135 AVG OR LESS) 200 GAME (160 AVG OR LESS) 225 GAME (180 AVG OR LESS) 250+ GAME (190 AVG OR LESS) 100 pins over average game GHUSBCFORM 2016 - 17 Game 1 Game 2 Game 3 Series ACHIEVEMENT/ AWARD (CHECK ALL THAT APPLY) 350 SERIES (100 AVG OR LESS) 400 SERIES (115 AVG OR LESS) 450 SERIES (130 AVG OR LESS) 500 SERIES (140 AVG OR LESS) 550 SERIES (150 AVG OR LESS) 600 SERIES (165 AVG OR LESS) 650 SERIES (180 AVG OR LESS) 700+ SERIES (190 AVG OR LESS) 150 pins over average series Average # Games 199 On the Nose (165 avg or less) All Spare game 7/10 Split Big 4 Triplicate Dutch 200
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