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2010 Susan Jurkonis Memorial Badminton Tournament – Entry Form

Deadline: May 18th (To receive free T-shirts send entries by May 11th.)

(Click here to go back to Tournament Page)

Name:______________________________ Date of Birth:______________________  Gender:  M   /   F

Address:_____________________________   

City, State, Zip:_______________________________________

Phone(s)____________________________________________________ 

Home Club :___________________________________________

Please enter me in the events below (check box on left)

Event

Ability (ABCD)

Partner's Name

____Mens Singles

 

Not Applicable

____Womens Singles

 

Not Applicable

____Mens Doubles

 

 

____Womens Doubles

 

 

____Mixed Doubles

 

 

 

WAIVER:  I, __________________________________ do hereby relieve Willowbrook High School, the Chicago Badminton Club, District 88 School District, tournament officials, workers, and sponsors and/or agents.  I acknowledge by signing this release that I hereby waive any and all rights or claims that I may have against Willowbrook High School, the Chicago Badminton Club, District 88 School District, tournament officials, workers, and sponsors and/or agents thereof.

Signature: _________________________________________   Date: _____________________________

Guardian Signature:__________________________________  Date:_____________________________

(Guardian/parent  signature is needed if participant is under 18 years of age)


TWO EASY WAYS TO REGISTER!

1.        PRINT THIS PAGE, MAIL ENTRY & MAKE CHECK OUT TO 

John Brander, 911 Caton Avenue Joliet, IL 60435

2.        E-Mail it to branderjohn@yahoo.com (E-MAIL ENTRIES ADD $3)

(Click here to go back to Tournament Page)