Tennis Seniors Victoria Claycourt Entry Form

2012 Australian Seniors & Super Seniors
Claycourt Tennis Championships
Melbourne, Victoria

Friday March 9 - Monday March 12

Entries Close

Wednesday February 22

All players* playing IPIN events must also enter online
on the ITF Seniors IPIN online entry site.
To be able to do this you must have an IPIN.
This above entry step is in addition to entering here.

* Note - If you are only entering non- IPIN events e.g. combined doubles,
then you only can enter on this website and do not have to quote an IPIN.

Click here to enter on the ITF IPIN site

Entries made below will be provisional on your completion of the ITF IPIN entry.

Championship confirmation entry lists

ITF Seniors Website Entry Lists/Draws

Download Fact Sheet
(pdf format)

Tennis Seniors
Victoria
Online 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

Group 1
Partner (if doubles)
Group 2
Partner (if doubles)
Group 3
Partner (if doubles) Group 4 Non IPIN Partner
State + Tennis registration number	You may enter a maximum of four (4) events one from each group Group 4 events are non IPIN and played Sunday afternoon Ages calculated in all events is your age at 31st December 2012. eg VIC 35463


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 Release	Player Agreement & Release In consideration of your agreement to allow me to participate in the Australian Claycourt Championships in Melbourne in 2012 (�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 Dendy Park Tennis 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.

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 $45, Doubles $25 each, Mixed $25 each, Combined Age $20 each

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.