Piner Open Badminton Tournament Registration Form by nym11541

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									     Piner Open Badminton Tournament
             Registration Form
Name: ___________________________________________________

Address: ________________________________________________


Phone Number: ___________________________________________

Email: __________________________________________________

Gender: __ Male     __ Female
Division: __ Novice __ Open

Events:     __ Singles __ Doubles __ Mixed

If doubles/mixed, partner's name: _______________________
If partner needed, check here: ___

*An Entry fee of $5 per player is required. Make checks payable
to Piner High School

Waiver (juniors must have their parent's sign):

I understand that my or my son/daughter's participation in the
2007 Piner Open Badminton Tournament involves a strenuous sport
that can lead to injuries. Such participation is solely at my
own risk and I hold harmless the Piner High School, Santa Rosa
City Schools, tournament directors and all others who are
helping to sponsor and run this tournament for any injuries that
may arise as a result of this participation. I have read this
agreement, understand its purpose and agree to its terms.

Signature                                    Date


Please send registration forms to: Richard Vuong, 1140 S.
Mcdowell Blvd., Petaluma, CA, 94954. Registration deadline is
February 21, 2007. If there are any questions, contact Richard
Vuong at (707)953-7014. Forms may also be emailed to or faxed to (707)542-6803

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