Sunday, Feb. 17, 2013
Referee: Linda Hsing NR, IU
Tournament staff: Dinh Nguyen, Alan Verny, Mas
No Name Time Fee 1st 2nd Proof of membership: All participants must be current
1 U2400 RR 11:00 $25 $300 $150
member of USATT or ITTF recognized body .Non
members or those whose membership have expired
2 U2200 RR 13:00 $20 $150 $75
must enclose membership fees with their entry forms.
3 U2000 RR 11:00 $20 $100 $50
Venue: Allen & Sons Table Tennis Club
4 U1800 RR 9:00 $20 $80 $40
21915 Sherman Way, Canoga Park, CA 91303
5 U1500 RR 13:00 $20 Trophy Trophy
6 U1250 RR 11:00 $20 Trophy Trophy Official Tournament Equipment: Butterfly Tables,
7 U1000 RR 9:00 $20 Trophy Trophy nets, barriers, Nittaku 3-Star Premium Balls.
Entry Deadline: Feb. 12, 2013, Tuesday. (on line entry)
Registration: Players must register with tournament officials at least 30 minutes before their first match and be ready to play each
match 10 minutes before the scheduled starting time.
Withdrawal: A $15 processing fee will be charged to any participant, who withdraws in writing from the tournament prior to Feb. 15,
2013. There will be no refunds after that date.
Ratings: from the Nov.-Dec. 2012 issue of the USATT magazine will be used for qualifications. Seeding based on most current
Racket Control: Only ITTF &USATT approved equipment should be used.
Policies: Players may not enter two events with identical start times. Events with insufficient number of entries can be cancelled or
combined at the discretion of the tournament committee .No prizes will be awarded for splits, dumps, default losses or no show. Play
will be conducted under ITTF rules. USATT dress code will be enforced. All decisions of the referee are final.
Rules: The Laws of table tennis as published by the ITTF and all regulations apply. All matches will be best of 5 sets except for
open singles semifinal & final.
2013 North-West LA OPEN ENTRY FORM (DEADLINE: POSTMARKED BY Tuesday Feb 13, 2013)
Name (Last, First): ___________________________________________________________ Phone: _________________
Address: _______________________________________________________________ City: ___________________ State/Zip:_______________
USATT Membership#: ___________ Expiration Date: ______________ Rating: _____________ (from the Dec. 2012 USATT Magazine)
Date of Birth: ____________ Email Address: ________________________________________ Main CLUB at which you play: _______________
I will abide by all regulations of the USATT and the Sponsors. I have signed (or will sign at the tournament) the Release and Waiver of Liability exempting USATT
and the Sponsors from any liability for injury to myself or to my property.
Signature: ________________________________________________ (Parent or Guardian must sign for Minor)
Event No Event Name Rating Fee Sub total from left
Administration Fee $6
Rating Fee $7
USATT Membership (1YR/$49 - 3YRS/$130 - JR-U18/$25)
Late Fee (Add $25 if Postmarked after Tuesday Feb 13, 2013)
Event Fee Sub Total Total
Send check payable to “Allen and Sons”, mail to Allen & Sons Table Tennis Club, 21911 Sherman Way, Canoga Park, CA 91303
Confirm entry on: www.mypingpongclub.com.