2010 Hawai'i Island Open, November 12-14, 2010
Print this form & mail in.
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