USTA NORTHERN CALIFORNIA - STANDARD ENTRY FORM
This entry blank may be used for all tournaments sanctioned by the USTA NorCal, except that most Adult Open tournaments print their own entry blank. Please refer to the various USTA NorCal schedules to determine tournament dates, sites, events, fees and mailing addresses. Be sure to include fees with entry forms.

Instuctions: Please fill out all the fields, print and then sign the form by all parties and mail it to the appropriate tournament.

Tournament Name:
Player Name: USTA #:
Street Address:
City: State: Zip Code:
Phone(s)-(Home): (Work):
Birthday: Male / Female:
Partner: USTA #:
EVENTS Adult Open NTRP Juniors

Championship

Open

Challenger

Novice

5.5 5.0 4.5 4.0 3.5 18 16 14 12 10
Singles
Doubles
Mixed
Senior
25 30 35 40 45 50 55 60 65 70 75 80 85
Singles
Doubles
Mixed
Family Doubles
Father/Son Mother/Daughter Father/Daughter Mother/Son
Open
Senior

WAIVER OF RESPONSIBILITY

Acceptance of my entry in these events is without assumption of responsibility or any kind by the USTA, the USTA Northern California, the host club, committees or the management of any event in which I may be entered or may participate. In consideration of the acceptance of my entry, I do hereby for and on behalf of myself and my heirs and legal representative release and forever discharge the USTA, USTA NorCal and host club, their officers, committees and representatives and their successors and assigns, of and from any and all claims and demands of every kind, nature and character which I may have or may hereafter acquire for any and all damages, losses or injuries which may be suffered or sustained by me in connection with my activities during the period for which such permission is waived and released and I covenant not to sue therefor. I understand that this tournament will be governed by applicable USTA rules and regualtions, the rules and regulations of this tournament, the rules and procedures governing discipline of players in USTA NorCal sanctioned tournaments, the USTA NorCal Code of Ethics, tournament policy, and ranking regulations, and agree to conduct myself accordingly.

Each applicant must sign.
Signature of player:

In addition, if under age 19,
Signature of Parent or Guardian:


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