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)
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) |
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