2017 Hawai'i Island Open & Aloha State Championships, November 3, 4, 5, 2017 Print & mail


Name : ______________________________________________

Address: ______________________________________________

City: _______________________________ State _____ Zip __________

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

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

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

Entry Fee      Event No.         Name of Event

$_______              1        SUPER RR ($30.00) Saturday, 9am

$_______              2        SENIOR'S OVER 55, OPEN ($12.00) Friday, 6:00pm

$_______              3        SENIOR'S OVER 55, U-1000 ($12.00) Friday, 6:00pm

$_______              4        U-1450 RR ($12.00) Saturday, 3:00pm

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

$ _______             6        MEN'S OPEN RR ($30.00) Sunday, 9:15am

$ _______             7        U-1000 RR ($12.00) Sunday, 11:00am

$ _______             8        U-1600 RR ($12.00) Sunday, 2:00pm

$_______              9        WOMEN'S OPEN RR ($15.00) Sunday, 9:00am

5.00    (OPTIONAL) Direct Donation to Hilo Boys & Girls Club

15.00 LATE FEE (if entering AFTER October 20, 2017)

$ ______ USATT Member fee Adult $75.00 year, $210.00 (3 years)

$ ______ USATT Member fee Junior $45.00 year (Under 18 years of age)

$ ______ USATT Tournament Pass $20.00

$ ______ Donation for prizes, 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

Box 42

Hawi, HI 96719