Carton
Tennis Corporation’s First Annual
Golden
Open
Registration Sheet
Date: Sunday
May 31, 2009
Time:
Location:
E-mail, Snail Mail, or Phone
Registration Required!
Registration Deadline:
Danielle- 914-310-2289
dcarr11@gmail.com
Judith- 914-602-8571
judnort83@yahoo.com
$40 per person per event
**No one person can enter
more than two events**
Name: _________________ NTRP Rating: ___
Phone
Number:
_____________ E-mail:
________
Phone
Number:
_____________ E-mail:
________
Mens 42.5 & over Singles ___ Cost: $40.00
Mens 42.5 & over Doubles ___ Cost: $40.00
Mens 58.5 & over Doubles ___ Cost: $40.00
Womens 42.5 & over Singles ___ Cost: $40.00
Womens 42.5 & over Doubles ___
Cost: $40.00
Womens 58.5 & over Doubles ___ Cost: $40.00
Mixed
Doubles 42.5 & over ___ Cost:$40.00
Mixed Doubles 58.5 & over ___ Cost: $40.00
Disclaimer: My participation in the tennis tournament I hereby exempt release and hold harmless for myself, the City of Mount Vernon, its offices, employees, agents, including: independent contractors, if applicable, volunteers, from any and all liability, claims, or causes of action whatsoever rising out of or which may result from my participation in the tennis tournament, including any claims or causes of action arising out of or as a result of any personal injuries suffered by myself whether resulting from the negligence of the City of Mount Vernon resulting from the participation of myself. I attest and verify that I have been informed and have full knowledge of risks involved in the participation in the above activity. I also waive my right to privacy; in signing this I am aware of and accept the fact that I can be videotaped or photographed and my picture could be released for publication.
________________ ________________
Participant’s Signature (or parent if under 18) Participant’s Signature (or parent if under 18)
