HAWAII-PACIFIC TENNIS FOUNDATION

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presents

Thanksgiving
Mixed Doubles Challenge

Tripler Tennis Center

November 17-18, 2006

Jon us on Saturday for:

• Special pre-Holiday prices on K-Swiss shoes and products (25% off)
• Cookout for the Finals
• Raffle for K-Swiss Products

For more information call (808) 677-1334 or email dav@hawaiitennis.org

Thanksgiving
Mixed Doubles Challenge
Entry Form

Player 2 Info
Last Name	________________________		First Name	________________________
Address	____________________________________________________________________
City	________________________		State	____	Zip Code	_______________
Phone No. Home:	_______________		Work	_______________	Cell	_______________
E-mail	____________________________________________________________________
Date of Birth:	(MM/DD/YY)	____/____/____	Gender:	(f)	_____	(m)	_____
Shoe Style:	__Glaciator   __Ultrascendor Low   __Ultrascendor Mid				Shoe Size:	_____	__Men's __Women's

Check the division entering: |__|Combined 7.5 & Below           |__|Combined 8.0 & Above

AMOUNT ENCLOSED: $______________________

The Waiver below must be signed by EACH player, as well as Parent if player is under 19 years old)

WAIVER OF RESONSIBILITY

Acceptance of my entry in these events is without assumption of any kind by the Hawaii Pacific Tennis Foundation, sponsors, trustees or governing boards of facilities, committees or the management of any event in which I may be entered or may participate, In consideration of the acceptance of my entry, I do hereby for and on behalf of myself and my heirs and legal representative release and forever discharge the Hawaii Pacific Tennis Foundation, sponsors, and host from any and all claims and demands of every kind nature and character excepting gross negligence, reckless conduct, or willful, wanton conduct, which I may have or may hereafter acquire for any and all damages, losses or injuries which may be suffered to sustained by me in connection with my activities during the period for which such permission is granted and any period traveling to or from such event described, and all such claims are hereby waived and released and I covenant not to sue therefore. I also consent to medical treatment in case of emergency. I agree to full responsibility for payment of any fees incurred as a result of necessary medical treatment. Entry, participation or attendance during the tournament constitutes permission to be photographed for possible publicity, promotional or media purposes and constitutes a waiver of any and all claims for compensation from all sponsoring agencies. I understand that this tournament will be governed by applicable USTA rules and regulations, the rules and regulations of this tournament, the rules and procedures government discipline of players in USTA/Hawaii Pacific Section tournaments, the USTA Code of Conduct, tournament policy and ranking regulations, and agree to conduct myself accordingly.

Signature of Player 1 _________________________________________
Signature of Parent or Guardian _________________________________________

Signature of Player 2 _________________________________________
Signature of Parent or Guardian _________________________________________