17TH ANNUAL MULLALY OPEN
ENTRIES CLOSE SUNDAY, JULY 22, 2007
REGISTRATION FORM
Return this portion of the application with check or money order, payable
to A-Z Tennis Asssociation.
Mail to: A-Z Tennis Association, P.O. Box 206, Colonial Park Station, New York,
NY 10039
Players are Permitted to Enter ONLY 2 EVENTS
EVENT NAMES & NUMBERS HERE: (1) ______________
(2) ______________
NAME _______________________________________________________________________
ADDRESS ____________________________________________________________________
____________________________________________________________________________
PHONE (DAY) _________________________ PHONE (NIGHT) ________________________
E-MAIL _____________________________________________________________________
DOUBLES PARTNER'S NAME ________________________________________________
DOUBLES PARTNER'S ADDRESS _____________________________________________
____________________________________________________________________________
DOUBLES PARTNER'S PHONE (DAY) ___________ PHONE (NIGHT)_________________
DOUBLES PARTNER'S E-MAIL _________________________________________________
Release of Liability
In consideration of Your Acceptance Of:
My Participation in The Tennis Tournament,
I hereby Exempt, Release and Hold Harmless for Myself, the City of New York, its Officers,
Employees, Agents (Including Independent Contractors, if Applicable), Servants, and
Volunteers from Any and All Liability Claims or Causes of Action Whatsoever Arising
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 New
York Or Resulting from the Participation of Myself, in The Tennis Tournament.
I Attest and Verify That I Have Been Informed of and Have Full Knowledge of
Risks Involved in Participation in the above Activity.
NAME _______________________________________________
ADDRESS ____________________________________________
SIGNATURE __________________________________________
DATE ________________________________________________
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