Tennis Seniors Victoria Entry Form

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 Group 1
Time available to play Friday
Group 2
Partner (if doubles)
Group 3
Partner (if doubles) Group 4 Partner (if doubles) BOTA Partner (if doubles)
	You may enter a maximum of three (3) events one from each group plus a "BOTA" event Ages calculated in all events is your age at 31st December 2011.

ITF Seniors World ranking	Check your latest ITF seniors world ranking here If you do not have a ranking type none


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Player Release	Player Agreement & Release In consideration of your agreement to allow me to participate in the Victorian Seniors State Tennis Championships in Melbourne in 2011 (�the Event�), I hereby agree as a condition of participation in the Event, to waive, for myself, my executors, administrators, heirs and personal representatives, all claims of any kind, nature and description including past, present and future including any claims in respect of injuries sustained in travelling to, from, or participating in the Event, against Tennis Australia, Tennis Victoria, Tennis Seniors Australia, Tennis Seniors Victoria or the Glen Iris Valley Recreational Club. I have not entered any other tournament during this period and I agree to abide by all tournament regulations and by the ITF Seniors Circuit Code of Conduct. Type I agree in the text box below to acknowledge your acceptance of the player agreement & release above.
Additional Fees Payment Method Your Entry Fee	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.

Please click Send Entry to submit your entry
You will then receive two emails
as explained on the green confirmation page
which displays once you have clicked Send Entry below.

Entries CLOSED

Online payments can be made below.

Please do NOT pay for your entry without entering above
with the Send Entry button.

Enter first then when you have received your first email
entry confirmation pay your fees below.

Secure payments via credit card

Please check the total fee (shown above), then click the Pay Fees button below.

Singles $35, Doubles $18 each, Mixed $18 each. BOTA Singles $30

Payments will be shown to 92 Computing (Tennis Seniors Victoria).

Type YES in the text box below to confirm you have
submitted an entry with the Send Entry button above
and read the green confirmation page.