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Standard Entry Form

Form in MS Word format     Form in PDF format


550 N Nimitz Hwy 1A
Honolulu HI 96817
telephone: 808-479-6727
fax: 808-536-4018

Standard Entry Form

TOURNAMENT NAME____________________________ DATES____________________

LAST NAME:______________________________ FIRST NAME:____________________


CITY:________________________ STATE:______________ ZIP:____________________

PHONE: (H)__________________ (W)__________________ (Cell)__________________


USTA #_______________________________________EXP. DATE___________________

NTRP RATING:_____________________________________________________________

DATE OF BIRTH:(MM/DD/YY) ____/____/____    GENDER: (f)___ (m)___

CLUB________________ ISLAND_______________________ SCHOOL____________________

FAMILY MEMBER ENTRANT_______________________________________________________

SEEDING INFORMATION__________________________________________________________

AMOUNT ENCLOSED:$______________________

The Waiver below must be signed by Player, and Parent if player is under 19 years old)

Circle the division and event(s) entering:
BOYS GIRLS   Open Intermediate Novice
Singles 18 16 14 12 10 8
Doubles 18 16 14 12 10 8
Partner's Name ____________________________ Partner's USTA # __________
MENS WOMENS Singles     Doubles Mixed NTRP Combined 6.0 7.0 8.0 9.0
OPEN 4.5 4.0 3.5 3.0 2.5 OTHER _____________________
JR. VET/SR. 30 35 40 45 50 55 60 65 70 75 80  
Partner's Name ____________________________ Partner's USTA # __________


Acceptance of my entry in these events is without assumption of any kind by the USTA, the USTA/Hawaii Pacific Section, the host club owners, 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 USTA, USTA/Hawaii Pacific Section, 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 therefor. 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 sanctioned tournaments, the USTA Code of Conduct, tournament policy and ranking regulations, and agree to conduct myself accordingly.

EACH APLICANT (and parent or guardian is player is under 19 years of age) must sign a waiver

Signature of Player____________________________________________________

Signature of Parent or Guardian__________________________________________

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