ENTRY FEES		Event #'s here: ____, ____, ____, ____, ____, ____, ____	Add fees for all events.	$______
USATT Rating Fee	Mandatory		$7/player	$7_____
USATT membership	If not a member	$40/yr for adult, $20 for Juniors	Add	$______
LATE FEE or phone in fee	If postmarked after 6/23/09	$10		$______
Total Due				$______

Make check payable to : PTTC (entry deadline: post marked 06/23/09)

Send to: Darell Potter, 2813 SE Yamhill St., Portland, OR 97214

NAME:____________________ DOB:__ / __ /__ PHONE NUMBER:_______________

ADDRESS:___________________________________________________________

City/State/Zip code: _____________________________________________________

E-mail:___________________(we need it) DOUBLE PARTNER:___________________

USATT RATING:_____ USATT MEMBERSHIP #:________________ Exp. date:________

SIGNATURE:____________________________________________

By signing this form, I waive the responsibility of the Tualatin Hills Athletic Center, PTTC, and USATT of injuries or personal damage that may occur and will abide by all USATT regulations.

PLAYERS MUST SIGN THE USATT WAIVER WHEN THEY CHECK IN

PLAYERS MUST CHECK IN 20 MINUTES BEFORE THEIR EVENT.

 

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