$15 one event, $10 Additional Event, Maximum Three. YOUTH: $5. Chicago Park District Youth - Free.

Name: ______________________________________ Level (ABCD):_______________

Address: _______________________________________________

City: ____________________________________ State: _________ Zip: ___________

Gender: M  F                Age: _____________

Email _____________________________________________________

Phone ____________________________________________

USAB MEMBERSHIP NUMBER: __________________________ (Not required for Youth)

EVENTS: (Please check your choices of MS,WS,MD,WD,XD, Youth - Maximum Three Events)

Men's Singles _______

Women's Singles _______

Doubles_________Partner (or Request)______________________________

Mixed Doubles___________Partner (or Request)_______________________

Youth Singles ___________ Youth Doubles (Partner) ___________________

Amount Enclosed: $________

T-Shirt Size (Circle One): Large  Medium  Small   [T-Shirt only for the first 50 Entries]

Make check payable to and mail to:

Jimmy Ye, 22 W Washington St, 11th Floor, Chicago, IL 60602

Phone: 1-847-924-8128

WAIVER: By signing this entry application, I agree to waive any and all claims that may arise from my participation in this tournament. I release and discharge the organizer, all participants in this tournament, Chicago Park district, World Sport Chicago, BadmintonChicago, USA Badminton, administrators, and volunteers for any bodily injury to myself or others, or for any damage or loss during the course of the event.