CHIPPEWA VALLEY FAMILY YMCA
2005 RACQUETBALL CHAMPIONSHIPS
REGISTRATION FORM


NAME:_______________________________________________

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!!!