2012 Big Island Open, April 28 & 29, 2012

 

Print & mail

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Name : ______________________________________________

Address: ______________________________________________

City: _______________________________ State _____ Zip __________

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

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

E-mail address: _________________________________Double's Info (Event/partner)_____________________________________

Attending Saturday Night Dinner  YES(   )  NO(   )   (Information on dinner coming soon)

 

Entry Fee      Event No.         Name of Event

$_______              1        MICRO SUPER RR ($20.00) Saturday, 9am

$_______              2        SENIOR'S OVER 55, OPEN ($10.00) Saturday, 1:30pm

$_______              3        SENIOR'S OVER 55, U-1000 ($10.00) Saturday, 1:30pm

$_______              4         U-1450 RR ($10.00) Saturday, 2:30pm

$ _______             5         U-3400 Doubles ($10.00) Saturday, 4:00pm

$ _______             6         UNRATED/RECREATIONAL ($10.00) Sunday, 9:00am

$ _______             7         ELITE OPEN RR ($20.00) Sunday, 9:15am

$ _______             8         U-1000 RR ($10.00) Sunday, 12:00pm

$ _______             9         U-1600 RR ($10.00) Sunday, 2:00pm

$  7.00    USATT Rating Fee (REQUIRED, unless playing only in event/s #1, #2, #3, #5, or #6  AND not joining or current member of USATT)

$  5.00    Waimea's County Sports Equipment Program (REQUIRED)

$  10.00 LATE FEE (if entering AFTER April 12, 2012)

$ ______ USATT Member fee Adult $49.00 year, $130.00 (3 years), $200.00 (5 years)

$ ______ USATT Member fee Junior $25.00 year or $60.00 (3 years-14 or younger)

$ ______ USATT Once per Life-Time Tournament Pass $10.00

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

$     5.00        Early Bird Entry Special; Deduct $5.00 if entering BEFORE MARCH 1, 2012.     

$ __________ 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

Box 42

Hawi, HI 96719