2018 Hawai'i Island Open & Aloha State Championships, 2 Star USATT Sanctioned, November 9, 10, 11, 2018 Print & mail

Len Winkler, Tournament Referee, CR/RU $850.00 Total Prizes

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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)_____________________________________

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) Friday, 4:00pm

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

$ _______             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

$  15.00 LATE FEE (if entering AFTER October 26, 2018)

$ ______ 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.

$_______ Donations To USATT National Team Fund.      

$ __________ 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