REGISTRATION FORM – 2006
Name: ___________________________________________
Birth Date: ______________________
Phone(s): _________________________________________
Club Number: ____________________
Email address: _____________________________________
NOTE: All Finals played on Saturday, May 6 .
Release: I hereby release the Missouri Athletic Club from any responsibility for damages, losses or injuries suffered by me in connection with the tournament. I also authorize the Missouri Athletic Club to bill my account for this event.
Player’s Signature: __________________________________
EVENTS
Men’s Singles: “A” “B” “C” 50 & over Men’s Doubles: “A” “B” “C” 50 & over 65 & over
Women’s Singles: “A” “B” “C”
Women’s Doubles: “A” “B” “C” 50 & over
Mixed Doubles: “A” “B” “C”
Divisions can be determined by USTA ratings:
Men’s Singles and Doubles Women’s Singles and Doubles
“A” division = USTA rating of 4.0 or higher “A” division = USTA rating of 4.0 or higher
“B” division = USTA rating of 3.5 or 4.0 “B” division = USTA rating of 3.5 or 4.0
“C” division = USTA rating of 3.0 or 3.5 “C” division = USTA rating of 3.0 or lower
Men’s and Women’s Doubles divisions = both players should have the appropriate rating as outlined for singles.
Mixed Doubles “A” division = combined rating of 8.0 or higher
Mixed Doubles “B” division = combined rating of 7.5 or lower
Mixed Doubles “C” division = combined rating of 6.5 or lower
Age Divisions = Both players must qualify age wise for the 50 & over and 65 & over age divisions.
List Events you would like to enter: _____________________________________________________
(Include level and doubles partner’s name.)
_______________________________________________________________________________
____ Yes, I plan on attending the Awards Dinner on Saturday, May 6, 2006 starting at 5:30 P.M.
____ No, I am unable to attend the Awards Dinner.
____ There will be _____ adults and _____ children attending the dinner with me.
Please put number in space(s) above. Cost: $25.00 for adults and $15.00 for kids 12 and under.
Entry Fees: $35 for one event $50 for two events $65 for two events. Entry fee includes the awards dinner on Saturday, May 6, 2006.
Entry deadline: Wednesday, February 8, 2006. Draws made on Saturday, February 11, 2006.
To assist the tournament committee in determining seeds, please include your current USTA rating and/or other pertinent tennis information. USTA rating: _________________________________________
NOTE: All Finals played on Saturday, May 6, 2006 .
Mail entries to:
Missouri Athletic Club West, 1777 Des Peres Road , St. Louis MO 63131 , ATTN: Kim Steinmetz
OR FAX to M.A.C. West at 314-965-7781.
