Surname |
|
| Given Name |
|
|
Male
Female |
| |
|
Australian State
or Country*
Date
of birth
|
dd.mm.yy |
| Address1
|
|
| Address2 |
|
| Town |
|
| Postcode |
|
| Home
Phone |
|
| Phone during tournament |
|
Tennis Seniors
Registration No.*
|
|
Email
Confirm Email
Events Entered |
|
|
|
|
Singles |
I am available to play
Singles Friday morning August 5
YES
NO |
|
|
|
|
Friday pm |
|
|
|
Partner.................
|
|
Saturday pm |
|
|
|
Partner.................
|
|
Sunday pm |
|
|
|
Partner.................
|
|
Monday pm |
|
|
|
Partner.................
|
|
ITF Seniors
Ranking |
Check your latest ITF seniors ranking
here
If you do not have a ranking type none |
**
My Tennis ID
|
|
|
|
|
|
|
Special requests.
Player
History
|
For seeding purposes, please list below details of
your relevant record of play including wins and
losses for the last 12 months. Kindly include the name of
your opponent in each case. Include your current
world and national ranking if applicable
|
|
|
|
|
Player Release |
Player Agreement & Release
I acknowledge
that as a participant in the TSQ Claycourt 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 TSQ Claycourt Seniors Championships in Ipswich 2011 ("the event"), I hereby agree, in submitting
electronically this entry form into the Event, as a condition of
participation in the event, 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 Queensland Inc, Tennis Seniors
Australia, The International Tennis Federation, Tennis Queensland,
Tennis Australia or participating clubs.
Type
I agree
in the text box below to acknowledge your acceptance of the player
agreement & release above.
|
|
|
Additional Fees*
Payment
Method
Total
Entry Fee
|
If paying your $15
Tennis Seniors Membership Fee above please nominate
which club you wish your membership to be credited to here >
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
Secretary.
|
