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First Name:*
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Last Name:*
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Street Address:*
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City:*
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State:*
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Zip Code:*
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Phone Number:*
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Emergency Phone Number:*
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E-Mail:
(Please see note (1) below)
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Type of Entry:*
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Events:*
(Please see note (2) below)
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Singles
Doubles
Mixed Doubles
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Partner(s):
Please see note (3) below) |
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Level of Play:
(Please see note (4) below) |
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| USTA Level (preferred)
or ABC Level (alternate)
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Birthdate:*
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Gender:*
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T-Shirt Size:*
(Please see note (5) below)
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Comments:
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(1) Please enter an e-mail address if possible. If you specify an e-mail address,
a copy of your entry form will be sent to the e-mail address you provide.
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(2) Please check the appropriate box for each event you wish to participate in.
One fee payment entitles you to participate in as many events as you wish to participate in.
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(3) If you plan to participate in the doubles or mixed doubles
events, please enter the name(s) of your partner(s). All individuals
listed as a parnter should submit their own registration form also.
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(4) Please enter your USTA level of play if possible. Otherwise, please enter
your level of play as A, B or C, with A being the highest level of play.
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(5) Fee payment includes one official Lago Vista 4th of July t-shirt.
Please indicate your t-shirt size so we can have your shirt ready for you.
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Release from Liability and Indemnification
We wish to participate in the Lago Vista 4th of July Tennis Tournament.
We, individual(s) or organization, Indemnify and Hold Harmless the Lago Vista
4th of July Council, its Volunteers, the City of Lago Vista from any and all
claims, suits, losses, damages, expenses on account of the Lago Vista 4th of July Tennis Tournament.
Further, the noted individual(s) or organization will defend
the Lago Vista 4th of July and the City of Lago Vista, and its agents from all
claims or bodily injury or property damage arising from their participation in
the Lago Vista 4th of July Tennis Tournament. We understand that we are responsible for
our own safely and actions. By checking the box below, I, the individual named
in the First Name and Last Name boxes above, signify that I have read this Agreement and understand and agree to all its terms.
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I have read the above Release from Liability and Indemnification
agreement and understand and agree to all its terms.
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I agree
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