Racquet Club Junior Fall Classic

October 1-3, 2004


Official Online Entry


PERSONAL INFORMATION

Name (as it appears on USTA card)
USTA #       Exp. Date --mm/dd/yy      
Birth Date --mm/dd/yyyy     T-shirt Size
Address
City      State      Zip
Contact Name
Contact Home Phone      Contact Work Phone
Contact Email   

EVENT INFORMATION

First Event  Second Event 

PAYMENT INFORMATION
First Event: $30 per person
Second Event: $20 per person 
Please send payment to: Into Tennis
P.O. Box 16376
Hattiesburg, MS  39404-6376

PLEASE SEND PAYMENT TO COMPLETE YOUR ENTRY.  PAYMENT MUST BE RECEIVED WITHIN THREE DAYS.  


RELEASE

By submitting this online entry, I hereby release the sanctioning tennis associations, the Tournament Committee, the hosting facilities, Into Tennis, IntoTennis.com Tennis Network, and sponsors from any and all responsibility for damages, losses, or injuries incurred by me in connection with the tournament or tournament housing at the location of the tournament or traveling to and from the tournament. 



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Revised: January 16, 2004