FRATERNAL ORDER OF EAGLES Platte

Aerie 1834, Inc.

3205- 12th Street, Box 1336

Columbus, NE 68602-1336

Phone: (402) 564-3361 after 4 p.m.

OFFICIAL ENTRY FORM FOR

THE ANNUAL TERRY MURPHY NEBRASKA STATE EAGLES

SHUFFLEBOARD TOURNAMENT

February 27-28, March 1, 2026

AERIE NAME AND NUMBER: TEAM NAME:

#

NAME OF TEAM CAPTAIN: PHONE

EMAIL OF TEAM CAPTAIN

ADDRESS OF TEAM CAPTAIN:

Street: City: State: NE Zip:

All team members must be in good standing and have current paid up receipt. Players without receipts will not be eligible

to play. Aerie per capita tax needs to be paid in order to be eligible for prizes. Any team found using illegal players will

forfeit all games. THERE WILL BE NO EXCEPTIONS.

If you know names, please list PRINT OR TYPE their names below, as they would be paired.

Changes may be made until Friday night, as this will assist us with getting most names into the

computer.

A)

AA)

H)

HH)

L)

LL)

M)

MM)

Checks payable to: Columbus Eagles Club and send to Box 1336, Columbus NE 68601

First 36 PAID teams accepted!!! NO teams accepted via E-MAIL. No exceptions!!

Send this completed entry form and $400.00 entry fee to address above.

Entry deadline is February 20, 2026 (Date determined by postmark)

All entries will receive a letter and rules sheet as their receipt/acceptance into the tournament

For further information contact: Dennis Micek (402) 276-2603 (cell with texting) or best way is

by e-mail dmicek@eaglecom.net