CHIPPEWA VALLEY FAMILY YMCA
2005 RACQUETBALL CHAMPIONSHIPS
REGISTRATION FORM
ADDRESS:_______________________________CITY_______________ZIP_______
PHONE (H)_______________________(W)______________________________
EMAIL ADDRESS:___________________________________
DIVISION A B C (CIRCLE ONE)
TOURNEY: (CIRCLE ONE)
SINGLES
SINGLES + DOUBLES
DOUBLES ONLY
SHIRT SIZE L XL XXL OTHER________
COST:
SINGLES TOURNEY: $30.00
SINGLES AND DOUBLES TOURNEY: $40.00
SINGLES FOR DOUBLES TOURNEY: $30.00
It is hereby understood by I, the undersigned, participant in the above-mentioned activity, am playing at my own risk; that if I am injured during the tournament, I am financially responsible for my own injuries. I hereby waive all claims for injuries, disablements, or cost of it against the Chippewa Valley Family YMCA. The tournament director reserves the right to reclassify players and combine divisions.
SIGNATURE___________________________________DATE_____________
*NOTE: REGISTRATION FORMS WILL NOT BE ACCEPTED WITHOUT PAYMENT. THANK YOU!!!