c/o Kathie Smith, P.O. Box 2157
Mountain Lake Park, MD 21550
Name_____________________________ Birth Date__________________________
Address___________________________ City______________________________
State___________ Zip Code_______ Home Phone #______________________
Cell Phone #________________________ Arrival Date/Time____________________
Email_____________________________
Where will you be staying during the Tournament?_______________________________
_________________________________________________________________________
PHONE# THERE___________________________________________________________
The above named entrant does hereby expressly forever release and discharge the Mountain Lake Park Tennis Club, Inc., the tournament director and workers, and owners of any courts used in the tournament from any and all such claims, demands, injuries, damages, actions or causes of action as might be occasioned by his or her participation in the tournament or use of any courts.
By signing and submitting this entry, the players or parents/guardians whose signatures appear below agree to abide by the Mid-Atlantic Code of Conduct and consent to the discretionary right of the Tournament Director and the Director's Designees, including the Tournament Referee and Match Umpire, to impose sanctions on the players, including point and game penalties as well as immediate disqualification from any further play in the tournament based on tournament related conduct of the players and the players' immediate families and waive any right to institute any judicial action whatsoever against the Club or any person relating to the imposition of any such sanction.
Signature of Entrant or Parent/Guardian__________________________________________________________
Date_______________ USTA Ranking #______________ Exp. Date__________
Tournament Record or Ranking (if any): _______________________________________
______________________________________________________________________
ENTER ONLY TWO EVENTS, PLEASE. The Tournament Committee reserves the right to cancel events where there are not eight (8) entries. ALL SINGLES PLAY WILL BEGIN ON THURSDAY, JULY 31, 2008 IN THE MORNING.
Please check the events you wish to participate in, total your charges at the bottom and enclose a check made to the order of The Mountain Lake Park Tennis Club. Mail your check to Kathie Smith, P.O. Box 2157, Mountain Lake Park, MD 21550. Sorry, no credit cards accepted.
_____ Men's Open Singles - $30
_____ Men's Singles(35) - $30
_____ Men's Singles(45)- $30
_____ Men's Singles(55)- $30
_____ Men's Singles(65)- $30
_____ Men's Singles(75)- $30
_____ Men's Singles(80)- $30
_____ Women's Open Singles- $30
_____ Men's Open Doubles- $50 Partner _________________________
_____ Men's Doubles(35)- $50 Partner _________________________
_____ Men's Doubles(45)- $50 Partner _________________________
_____ Men's Doubles(55)- $50 Partner_________________________
_____ Men's Doubles(65)- $50 Partner _________________________
_____ Men's Doubles(70)- $50 Partner _________________________
_____ Women's Doubles- $50 Partner _________________________
_____ Mixed Doubles- $50 Partner _________________________
_____ Mixed 45 Doubles $50 Partner _________________________
Total Amount enclosed for Entry Fees $______________________.
Deadline for Entries - Tuesday, July 29, 2008.
Thank you for your interest in our Tournament. We look forward to seeing you on the mountaintop!