Surname
Given Name
Male
Female
Australian State
or Country*
Date
of birth
Please select
ACT
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NT
QLD
SA
TAS
VIC
WA
AFG
AHO
ALB
ALG
AND
ANG
ANT
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AUS - select state above
AUT
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VAN
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VIN
YEM
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ZAI
ZAM
ZIM
dd.mm.yy
Address1
Address2
Town
Postcode
Home
Phone
Phone during tournament
Tennis Seniors
Registration No.**
Email
Confirm Email
1st Event
.
1 MENS 35 SINGLES $60
2 MENS 40 SINGLES $60
3 MENS 45 SINGLES $60
4 MENS 50 SINGLES $60
5 MENS 55 SINGLES $60
6 MENS 60 SINGLES $60
7 MENS 65 SINGLES $60
8 MENS 70 SINGLES $60
9 MENS 75 SINGLES $60
10 MENS 80 SINGLES $60
11 MENS 85 SINGLES $60
12 WOMENS 35 SINGLES $60
13 WOMENS 40 SINGLES $60
14 WOMENS 45 SINGLES $60
15 WOMENS 50 SINGLES $60
16 WOMENS 55 SINGLES $60
17 WOMENS 60 SINGLES $60
18 WOMENS 65 SINGLES $60
19 WOMENS 70 SINGLES $60
20 WOMENS 75 SINGLES $60
21 WOMENS 80 SINGLES $60
22 MENS 35 DOUBLES $30 ea.
23 MENS 40 DOUBLES $30 ea.
24 MENS 45 DOUBLES $30 ea.
25 MENS 50 DOUBLES $30 ea.
26 MENS 55 DOUBLES $30 ea.
27 MENS 60 DOUBLES $30 ea.
28 MENS 65 DOUBLES $30 ea.
29 MENS 70 DOUBLES $30 ea.
30 MENS 75 DOUBLES $30 ea.
31 MENS 80 DOUBLES $30 ea.
32 WOMENS 35 DOUBLES $30 ea.
33 WOMENS 40 DOUBLES $30 ea.
34 WOMENS 45 DOUBLES $30 ea.
35 WOMENS 50 DOUBLES $30 ea.
36 WOMENS 55 DOUBLES $30 ea.
37 WOMENS 60 DOUBLES $30 ea.
38 WOMENS 65 DOUBLES $30 ea.
39 WOMENS 70 DOUBLES $30 ea.
40 WOMENS 75 DOUBLES $30 ea.
41 WOMENS 80 DOUBLES $30 ea.
42 MENS 95 DOUBLES $30 ea.
43 MENS 110 DOUBLES $30 ea.
44 MENS 120 DOUBLES $30 ea.
45 MENS 130 DOUBLES $30 ea.
46 MENS 140 DOUBLES $30 ea.
47 MENS 150 DOUBLES $30 ea.
48 WOMENS 100 DOUBLES $30 ea.
49 WOMENS 120 DOUBLES $30 ea.
50 WOMENS 140 DOUBLES $30 ea.
51 Ov35 MIXED DOUBLES $30 ea.
52 Ov40 MIXED DOUBLES $30 ea.
53 Ov45 MIXED DOUBLES $30 ea.
54 Ov50 MIXED DOUBLES $30 ea.
55 Ov55 MIXED DOUBLES $30 ea.
56 Ov60 MIXED DOUBLES $30 ea.
57 Ov65 MIXED DOUBLES $30 ea.
58 Ov70 MIXED DOUBLES $30 ea.
59 Ov75 MIXED DOUBLES $30 ea.
Partner
(if Doubles)
2nd Event
.
1 MENS 35 SINGLES $60
2 MENS 40 SINGLES $60
3 MENS 45 SINGLES $60
4 MENS 50 SINGLES $60
5 MENS 55 SINGLES $60
6 MENS 60 SINGLES $60
7 MENS 65 SINGLES $60
8 MENS 70 SINGLES $60
9 MENS 75 SINGLES $60
10 MENS 80 SINGLES $60
11 MENS 85 SINGLES $60
12 WOMENS 35 SINGLES $60
13 WOMENS 40 SINGLES $60
14 WOMENS 45 SINGLES $60
15 WOMENS 50 SINGLES $60
16 WOMENS 55 SINGLES $60
17 WOMENS 60 SINGLES $60
18 WOMENS 65 SINGLES $60
19 WOMENS 70 SINGLES $60
20 WOMENS 75 SINGLES $60
21 WOMENS 80 SINGLES $60
22 MENS 35 DOUBLES $30 ea.
23 MENS 40 DOUBLES $30 ea.
24 MENS 45 DOUBLES $30 ea.
25 MENS 50 DOUBLES $30 ea.
26 MENS 55 DOUBLES $30 ea.
27 MENS 60 DOUBLES $30 ea.
28 MENS 65 DOUBLES $30 ea.
29 MENS 70 DOUBLES $30 ea.
30 MENS 75 DOUBLES $30 ea.
31 MENS 80 DOUBLES $30 ea.
32 WOMENS 35 DOUBLES $30 ea.
33 WOMENS 40 DOUBLES $30 ea.
34 WOMENS 45 DOUBLES $30 ea.
35 WOMENS 50 DOUBLES $30 ea.
36 WOMENS 55 DOUBLES $30 ea.
37 WOMENS 60 DOUBLES $30 ea.
38 WOMENS 65 DOUBLES $30 ea.
39 WOMENS 70 DOUBLES $30 ea.
40 WOMENS 75 DOUBLES $30 ea.
41 WOMENS 80 DOUBLES $30 ea.
42 MENS 95 DOUBLES $30 ea.
43 MENS 110 DOUBLES $30 ea.
44 MENS 120 DOUBLES $30 ea.
45 MENS 130 DOUBLES $30 ea.
46 MENS 140 DOUBLES $30 ea.
47 MENS 150 DOUBLES $30 ea.
48 WOMENS 100 DOUBLES $30 ea.
49 WOMENS 120 DOUBLES $30 ea.
50 WOMENS 140 DOUBLES $30 ea.
51 Ov35 MIXED DOUBLES $30 ea.
52 Ov40 MIXED DOUBLES $30 ea.
53 Ov45 MIXED DOUBLES $30 ea.
54 Ov50 MIXED DOUBLES $30 ea.
55 Ov55 MIXED DOUBLES $30 ea.
56 Ov60 MIXED DOUBLES $30 ea.
57 Ov65 MIXED DOUBLES $30 ea.
58 Ov70 MIXED DOUBLES $30 ea.
59 Ov75 MIXED DOUBLES $30 ea.
Partner
(if doubles)
3rd Event
.
1 MENS 35 SINGLES $60
2 MENS 40 SINGLES $60
3 MENS 45 SINGLES $60
4 MENS 50 SINGLES $60
5 MENS 55 SINGLES $60
6 MENS 60 SINGLES $60
7 MENS 65 SINGLES $60
8 MENS 70 SINGLES $60
9 MENS 75 SINGLES $60
10 MENS 80 SINGLES $60
11 MENS 85 SINGLES $60
12 WOMENS 35 SINGLES $60
13 WOMENS 40 SINGLES $60
14 WOMENS 45 SINGLES $60
15 WOMENS 50 SINGLES $60
16 WOMENS 55 SINGLES $60
17 WOMENS 60 SINGLES $60
18 WOMENS 65 SINGLES $60
19 WOMENS 70 SINGLES $60
20 WOMENS 75 SINGLES $60
21 WOMENS 80 SINGLES $60
22 MENS 35 DOUBLES $30 ea.
23 MENS 40 DOUBLES $30 ea.
24 MENS 45 DOUBLES $30 ea.
25 MENS 50 DOUBLES $30 ea.
26 MENS 55 DOUBLES $30 ea.
27 MENS 60 DOUBLES $30 ea.
28 MENS 65 DOUBLES $30 ea.
29 MENS 70 DOUBLES $30 ea.
30 MENS 75 DOUBLES $30 ea.
31 MENS 80 DOUBLES $30 ea.
32 WOMENS 35 DOUBLES $30 ea.
33 WOMENS 40 DOUBLES $30 ea.
34 WOMENS 45 DOUBLES $30 ea.
35 WOMENS 50 DOUBLES $30 ea.
36 WOMENS 55 DOUBLES $30 ea.
37 WOMENS 60 DOUBLES $30 ea.
38 WOMENS 65 DOUBLES $30 ea.
39 WOMENS 70 DOUBLES $30 ea.
40 WOMENS 75 DOUBLES $30 ea.
41 WOMENS 80 DOUBLES $30 ea.
42 MENS 95 DOUBLES $30 ea.
43 MENS 110 DOUBLES $30 ea.
44 MENS 120 DOUBLES $30 ea.
45 MENS 130 DOUBLES $30 ea.
46 MENS 140 DOUBLES $30 ea.
47 MENS 150 DOUBLES $30 ea.
48 WOMENS 100 DOUBLES $30 ea.
49 WOMENS 120 DOUBLES $30 ea.
50 WOMENS 140 DOUBLES $30 ea.
51 Ov35 MIXED DOUBLES $30 ea.
52 Ov40 MIXED DOUBLES $30 ea.
53 Ov45 MIXED DOUBLES $30 ea.
54 Ov50 MIXED DOUBLES $30 ea.
55 Ov55 MIXED DOUBLES $30 ea.
56 Ov60 MIXED DOUBLES $30 ea.
57 Ov65 MIXED DOUBLES $30 ea.
58 Ov70 MIXED DOUBLES $30 ea.
59 Ov75 MIXED DOUBLES $30 ea.
Partner
(if doubles)
You may
enter a maximum of three (3) events which can be made up of
no more than one (1) singles*
* (Singles must be in
your age group if
nominating for ITF Cup Selection )
no more than two (2) m ens doubles or two (2) womens doubles.
no more than two (2) mixed.
Ages calculated in all events is your age at 31st December 2012.
Events 42 - 48 are combined age doubles and the age of the two
players
is be added to be equal or more than the age specified.
Address
during tournament
Special requests
- exemptions etc.
IPIN Entry
IPIN Number
* All players
entering IPIN events must also enter on the ITF IPIN website
I have already entered on the ITF IPIN entry site
I will be entering on the ITF IPIN site
I am not playing any IPIN events
If you do not have a IPIN type
none
Player Agreement & Release
I acknowledge
that as a participant in the Australian Tennis Seniors Championships I
am required to comply with various rules, regulations and policies
as listed on the entry form (link above). I certify I am a
registered member of the nominated Tennis Seniors Association (see
* above).
In consideration of your agreement
to allow me to participate in the 2012 Australian Tennis Seniors Championships
in Perth ("the event"), I hereby agree, in submitting
electronically this entry form into the Event, as a condition of
entry, that for me and my executors, administrators, heirs and
personal representatives, all claims of any kind, nature and
description are waived, including past, present or future claims and
injuries , if any, sustained in travelling to or from participating
in the Event, against Tennis Seniors Australia Inc., Tennis Seniors
WA and participating clubs.
Type
I agree
in the text box below to acknowledge your acceptance of the player
agreement & release above.
Player
Release
Doubles Release
Additional Fees
Payment Method
Your Entry Fee
Doubles Release
In order to assist players without a partner in finding a suitable
doubles partner, event entry lists will be published on a regular
basis on
www.92computing.com.au and the ITF IPIN website.
If you have entered doubles without a partner you can authorise the
tournament manager to release some of your personal information to
players who wish to get in touch with you.
I agree that my personal details (email address, telephone numbers)
may be released to players who contact the TSA championships manager
in order to find a doubles partner.
Select either I agree
or I do not agree below to acknowledge your acceptance
or not of the doubles release above.
I AGREE with the doubles release of limited personal information.
I Do NOT agree with the doubles release and no information will be
given out
Australian ITF Cup Team Nomination
If you
intend nominating for selection in an Australian
team to participate in the
2012 ITF Super Seniors World Teams championships, the
link to the ONLINE application form
is at the top of this page.
Applications can only be submitted via the
online nomination form.
Submitting an entry to the
individual championships below is not a team nomination.
$0.00 - I am a registered Tennis Seniors member (see number ** above)
$10.00 - Not a Tennis Seniors member- Temp. membership only for this event
Visa
Mastercard
Paypal
Cheque
Money Order
Visa, Mastercard or
Paypal
payments to be made below with the Pay Fees button.
Cheques or Money order payments to be posted to the Tournament
Director.