2010 Hawai'i Island Open, November 12-14, 2010

 

Print this form & mail in.

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Name : ______________________________________________

Address: ______________________________________________

City: _______________________________ State _____ Zip __________

Phone (____)________________ Birth Date _____/_____/_______

Rating _____USATT # ____________ Exp. Date _____/_____/_______Club _____________

E-mail address: _________________________________Double's Partner_____________________________________

 

Entry Fee      Event No.         Name of Event

$_______              A         WOMEN'S OPEN  ($5.00) Friday, 5:30pm

$_______              B         JUNIOR'S CHAMPIONSHIP ($5.00) Friday, 5pm

$_______              1         Super Round Robin ($20.00) Saturday, 9am

$_______              2         U-1450 RR ($10.00) Saturday, 2:30pm

$ _______             3         U-3400 Doubles ($10.00) Saturday, 4:00pm

$ _______             4         UNRATED/RECREATIONAL ($10.00) Sunday, 9:00am

$ _______             5         ELITE OPEN RR ($20.00) Sunday, 9:30am

$ _______             6         U-1000 RR ($10.00) Sunday, 12:00pm

$ _______             7         U-1600 RR ($10.00) Sunday, 2:30pm

$ 7.00 USATT Rating Fee (Required, unless playing only in event/s #A, #B, #1, #3 or  #4,  AND not joining or current member of USATT)

$ 5.00 LATE FEE (if entering AFTER November 1, 2010)

$ ______ USATT Member fee Adult $40.00 year or $105.00 (3 years)

$ ______ USATT Member fee Junior $20.00 year or $50.00 (3 years-14 or younger)

$ ______ USATT Once per LifeTime Tournament Pass $10.00

$ ______ Donation for  balls, nets, trophies, food, etc.

                   

$ __________ Total Fees Enclosed

 

I will abide by all USATT regulations. I assume full responsibility for my participation in this tournament and release the sponsors, tournament committee and USATT from all claims. Tournament directors reserve the right to cancel events due to insufficient number of players and to close events when full. Decisions are final, but full refunds will be given for any cancelled events.

 

Signature _____________________________Date________________ 

 

Make checks payable to: LEN WINKLER

 

Mail to:

Len Winkler

General Delivery

Hawi, HI 96719