**CANNOT CROSS OVER PLAYERS FROM OTHER VENDORS** Entries Deadline to Stansfield: January 6th, 2027 MOMA Pool Tournament Entry Form "*" indicates required fields MOMA Event Type*Please Choose an Event Type8 Ball Singles9 Ball Singles8 Ball Scotch Doubles8 Ball TeamSingles 8 Ball Events*MOMA Pool Open C Division (CSR 1650 & Under) 8 Ball Singles Entry FeeMOMA Pool Open B Division (CSR 1651-1740) 8 Ball Singles Entry FeeMOMA Pool Open A Division (CSR 1741-1800) 8 Ball Singles Entry FeeMOMA Pool Open AA Division (CSR 1801-1850) 8 Ball Singles Entry FeeMOMA Pool Open Masters (CSR Over 1850) 8 Ball Singles Entry FeeMOMA Pool Women's B Division (CSR 1550 & Under)8 Ball Singles Entry FeeMOMA Pool Women's A Division (CSR 1551-1620) 8 Ball Singles Entry FeeMOMA Pool Women's AA Division (CSR 1621-1675) 8 Ball Singles Entry FeeMOMA Pool Women's Master Division (CSR Over 1675) 8 Ball Singles Entry FeeSingles 9 Ball Events*MOMA Pool Open Bronze Division (CSR 1650 or Lower) 9 Ball Singles Entry FeeMOMA Pool Open Silver Division (CSR 1651-1740) 9 Ball Singles Entry FeeMOMA Pool Open Gold Division (CSR 1741 or Higher) 9 Ball Singles Entry FeeCan't play in both Scotch Doubles & 9 Ball EventsAre you playing 9 Ball?* Yes No 8 Ball Scotch Doubles Events*MOMA Pool Open Scotch Doubles (Combined CSR 3600 or Lower) Entry FeeMOMA Pool Mixed (Combo of Male/Female) Scotch Doubles (Combined CSR 3500 or Lower) Entry FeeCan't play in both Scotch Doubles & 9 Ball Events8 Ball Team Events*MOMA Pool Open 8 Ball Team (Combined CSR Under 9,000) Entry FeeMOMA Pool Open Master/AA 8 Ball Team (Combined CSR Over 9,000) Entry FeeMOMA Pool Women's A 8 Ball Team (Combined CSR Under 6,400) Entry FeeMOMA Pool Women's Master/AA 8 Ball Team (Combined CSR Over 6,400) Entry FeeTeam Name (If Applicable)Player 1 Name*Player 1 League Played In*Choose your leagueAlma Area Co-ed PoolArcadia Area PoolBangor-Sparta Co-ed PoolBoscobel Area PoolBoscobel Summer PoolDurand Area PoolDurand Summer PoolJackson County PoolJackson County Summer PoolLa Crosse County PoolLyndon Station Men's Sanction PoolMonday Open Doubles PoolMonday Women’s Open PoolPrairie du Chien Area PoolPrairie du Chien Thursday Dbls PoolRichland Center Area PoolRiver Country PoolSouthern Stansfield Pool LeagueSunday Handicap PoolSunday Open PoolThursday No Handicap PoolThursday Open PoolTuesday No Handicap PoolWestby Area PoolWinona Area PoolPlayer 1 Phone Number*Player 1 Email Address* Player 2 Name*Player 2 League Played In*Choose your leagueAlma Area Co-ed PoolArcadia Area PoolBangor-Sparta Co-ed PoolBoscobel Area PoolBoscobel Summer PoolDurand Area PoolDurand Summer PoolJackson County PoolJackson County Summer PoolLa Crosse County PoolLyndon Station Men's Sanction PoolMonday Open Doubles PoolMonday Women’s Open PoolPrairie du Chien Area PoolPrairie du Chien Thursday Dbls PoolRichland Center Area PoolRiver Country PoolSouthern Stansfield Pool LeagueSunday Handicap PoolSunday Open PoolThursday No Handicap PoolThursday Open PoolTuesday No Handicap PoolWestby Area PoolWinona Area PoolPlayer 3 Name*Player 3 League Played In*Choose your leagueAlma Area Co-ed PoolArcadia Area PoolBangor-Sparta Co-ed PoolBoscobel Area PoolBoscobel Summer PoolDurand Area PoolDurand Summer PoolJackson County PoolJackson County Summer PoolLa Crosse County PoolLyndon Station Men's Sanction PoolMonday Open Doubles PoolMonday Women’s Open PoolPrairie du Chien Area PoolPrairie du Chien Thursday Dbls PoolRichland Center Area PoolRiver Country PoolSouthern Stansfield Pool LeagueSunday Handicap PoolSunday Open PoolThursday No Handicap PoolThursday Open PoolTuesday No Handicap PoolWestby Area PoolWinona Area PoolPlayer 4 Name*Player 4 League Played In*Choose your leagueAlma Area Co-ed PoolArcadia Area PoolBangor-Sparta Co-ed PoolBoscobel Area PoolBoscobel Summer PoolDurand Area PoolDurand Summer PoolJackson County PoolJackson County Summer PoolLa Crosse County PoolLyndon Station Men's Sanction PoolMonday Open Doubles PoolMonday Women’s Open PoolPrairie du Chien Area PoolPrairie du Chien Thursday Dbls PoolRichland Center Area PoolRiver Country PoolSouthern Stansfield Pool LeagueSunday Handicap PoolSunday Open PoolThursday No Handicap PoolThursday Open PoolTuesday No Handicap PoolWestby Area PoolWinona Area PoolPlayer 5 Name*Player 5 League Played In*Choose your leagueAlma Area Co-ed PoolArcadia Area PoolBangor-Sparta Co-ed PoolBoscobel Area PoolBoscobel Summer PoolDurand Area PoolDurand Summer PoolJackson County PoolJackson County Summer PoolLa Crosse County PoolLyndon Station Men's Sanction PoolMonday Open Doubles PoolMonday Women’s Open PoolPrairie du Chien Area PoolPrairie du Chien Thursday Dbls PoolRichland Center Area PoolRiver Country PoolSouthern Stansfield Pool LeagueSunday Handicap PoolSunday Open PoolThursday No Handicap PoolThursday Open PoolTuesday No Handicap PoolWestby Area PoolWinona Area PoolPlayer (Sub)Sub League Played InChoose your leagueAlma Area Co-ed PoolArcadia Area PoolBangor-Sparta Co-ed PoolBoscobel Area PoolBoscobel Summer PoolDurand Area PoolDurand Summer PoolJackson County PoolJackson County Summer PoolLa Crosse County PoolLyndon Station Men's Sanction PoolMonday Open Doubles PoolMonday Women’s Open PoolPrairie du Chien Area PoolPrairie du Chien Thursday Dbls PoolRichland Center Area PoolRiver Country PoolSouthern Stansfield Pool LeagueSunday Handicap PoolSunday Open PoolThursday No Handicap PoolThursday Open PoolTuesday No Handicap PoolWestby Area PoolWinona Area PoolPlayer (Sub)Sub League Played InChoose your leagueAlma Area Co-ed PoolArcadia Area PoolBangor-Sparta Co-ed PoolBoscobel Area PoolBoscobel Summer PoolDurand Area PoolDurand Summer PoolJackson County PoolJackson County Summer PoolLa Crosse County PoolLyndon Station Men's Sanction PoolMonday Open Doubles PoolMonday Women’s Open PoolPrairie du Chien Area PoolPrairie du Chien Thursday Dbls PoolRichland Center Area PoolRiver Country PoolSouthern Stansfield Pool LeagueSunday Handicap PoolSunday Open PoolThursday No Handicap PoolThursday Open PoolTuesday No Handicap PoolWestby Area PoolWinona Area PoolTotal Credit Card*Card Details Cardholder Name