Name____________________________________ Phone________________
Address_____________________________ City_______________ ST___ Zip_____
Doubles partner_______________________ E-mail ________________________
USATT Rating_________ USATT Membership Expiration Date ____________
| Open Singles | $15.00 | ________ |
| |
| Open Doubles, per player | $5.00 | ________ | ||
| Under 14 | $3.00 | ________ | ||
| Under 18 | $3.00 | ________ | ||
| Women's Singles | $5.00 | ________ | ||
| 40-49 | $5.00 | ________ | ||
| 50-59 | $5.00 | ________ | ||
| 60 & Over | $5.00 | ________ | ||
| Family All-You-Can-Play Pass | $50.00 | ________ | ||
| USATT Membership/Permit | (see box) | ________ | ||
| Rating Fee | $5.00 | ________ | ||
| Total enclosed | ________ |
| Make checks and send entries to: | Timpanogos Table Tennis Club P.O. Box 752 Orem, UT 84059 |
Entries must be received by 6:00 p.m., Sat, April 12, 2008. Late entries will only be allowed if space permits, and a $1 late fee per event will be assessed. If you got a one-time permit in the past, you must be a full member for this tournament.
Please enter me in the above events. My fees are enclosed. I agree to comply with all USATT regulations. I will sign at the tournament the USATT comprehensive waiver of liability and I also release the sponsors from all responsibility for any accidents that might occur while participating in this event.