2010 Elk Grove Village Open Entry Form Sponsored by  (Print this page, fill and mail with payment) DEADLINE: ENTRY EXTENDED TO April 3, 2010 IF ONLINE (Subject to draws being open) Click here to go back to Tournament page. COST: $20 for the first event, $10 for each additional event. Maximum of 3 events allowed. No refund after April 3, 2010, unless the event is canceled. Make checks payable to Jimmy Ye and sent to 22 W. Washington St, 11th Floor, Chicago, IL 60602. Name: _____________________________________ Sex: M / F Address: _________________________________________________ City / St / Zip: _____________________________________________ Phone #: ______________ E-Mail: __________________________ Date of Birth: ____ / ____/ _______ EVENTS:(Please write down your choices of MS,WS,MD,WD,XD) Men's Singles _______ Women's Singles _______ Men's Doubles_________Partner (or Request)______________________________ Woman's Doubles_________Partner (or Request)______________________________ Mixed Doubles___________Partner (or Request)_______________________ Amount Enclosed: $________ 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, Elk Grove Park District, administrators, and volunteers for any bodily injury to myself or to others, or for any damage or loss during the course of the event. Signed: ________________________________________ Date: ____ / ____/ ____ (Or guardian, if under 18 years of age) Make checks payable to Jimmy Ye and sent to 22 W. Washington St, 11th Floor, Chicago, IL 60602. |