|
Discount entries fees of $12 per person/per event for all mail-in entries postmarked by Nov. 14. |
| Northeast Regional Restricted - Rescheduled Event | Saturday November 24th | |
| _________________________________________________________ Name (print) |
U.S.A.B. #:_______________________ | |
| _________________________________________________________
Street |
Phone # (_____)____________________ | |
| _________________________________________________________ City State Zip code |
e-mail: ___________________________ | |
| [ ] A,B,C Men's Singles | [ ] A,B,C Women's Singles | Age as of 11/24/2001: _________ |
| [ ] A,B,C Men's Doubles | [ ] A,B,C Women's Doubles | Partner:___________________________ |
| [ ] A,B,C Mixed Doubles | Partner:___________________________ | |
| [ ] Senior Men's Singles (35+ age) | [ ] Senior Women's Singles (30+ age) | |
| [ ] Senior Men's Doubles | [ ] Senior Women's Doubles | Partner:___________________________ |
| [ ] Senior Mixed Doubles | Partner:___________________________ | |
| [ ] Boy's Singles (under 19 age) | [ ] Girl's Singles (under 19 age) | |
| [ ] Boy's Doubles (under19 age) | [ ] Girl's Doubles (under19 age) | Partner:___________________________ |
| [ ] Mixed Doubles (under19 age) | [ ] Mixed Doubles (under 15 age) | Partner:___________________________ |
| [ ] Boy's Singles (under 15 age) | [ ] Girl's Singles (under 15 age) | |
| [ ] Boy's Doubles (under 15 age) | [ ] Girl's Doubles (under 15 age) | Partner:___________________________ |
| Release: By signing this entry application, I agree to comply with all the rules of the 2001 Northeast Championships and waive any and all claims which may arise from this badminton tournament. I , the person named below, release and discharge the USAB, Rutgers University, the tournament administration and any and all participants in this event of any claims for bodily injury, damages, or loss of my property incurred during the 2001 Northeast Championships. | ||
Signed:_______________________________________ Signed:_______________________________________ I HAVE READ THIS AGREEMENT AND AGREE TO ITS TERMS PARENT OR GUARDIAN SIGNATURE REQUIRED FOR A MINOR PLAYER. |
||