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More Clinic and Tourney Info Click Here!
ON-Line Registration for 1 or both event:
  • Nov. 1, 2003 Andy Chong Badminton Clinic
  • Nov. 1, 2003 Open Round Robin Doubles tourney
  • request partner OK!

    Contact: Eric Miller, 125 Prospect St. Phoenixville, PA 19460

    Badminton Clinic with

    master coach

    Andy Chong
    9:00am

    Round Robin

    Doubles Tourney
    A/B/C MXD
    12:00noon

    Saturday Nov. 1, 2003 9am

    9:00 - 11:30am Andy Chong Clinic - All Levels
    11:45 - 12:30 Kid's age 8-14 Session
    1:20 - 3pm 20 minute trios + Andy


    Saturday Nov. 1 2003 12:00noon Tourney start

    Open Round Robin Doubles A/B/C MXD

    A level = tournament player
    B level = club player,
    C level = novice or junior


    A PA Round Robin Doubles Tourney
    Lots of play Lots of Fun!

    Location:
    Bryn Mawr School of Social Work Gym
    Airdale Rd., Bryn Mawr, PA

    Registration available on-line below
    http://www.USbadminton.net
    Contact: Eric Miller C/O Phoenixville Arts & Badminton Center Project
    610-933-8145 Eric@USbadminton.net
    Entries will only be accepted after Oct 15 as space is available! PLEASE REGISTER EARLY!

    Registration Deadline Oct. 15, 2003 or until filled.

    NAME
    First Name: Last Name: nickname:
    For Juniors: Age as of 6/15 2003: Date of Birth:
    School/Club
    School/Club: Gender:
    ADDRESS
    Street Address: Street Address 2:
    CITY STATE ZIP
    City: State: Zip :

    PHONE E-Mail (Include area code:
    Phone: REQUIRED INFO _ E-Mail:

    ENTER USAB number:
    USAB # (if you have one):
    If you need a partner, you may write in 'request' below. Requests will be filled on a first come first serve basis.


    ENTRY FEES:

    Saturday Nov. 1 2003 9:00am - 11:30 Andy Chong Clinic



    Andy Chong Clinic ________ 45
    11:45 - 12:45 Kid's age 8-14 Session ... ________________ 10.
    1:20 - 2:40 20minute trios + Andy ... ____________ 15./person
    Trio member no. 2
    Trio member no. 3
    If you do not have a preference, please write in request above.

    What I would like to learn from the clinic:



    Saturday Nov. 1 2003 A/B/C Doubles tourney

    12:00noon start Round Robin Doubles Tourney
    ... First event .... $20./player
    Round Robin Doubles A Level
    Round Robin Doubles B Level
    Round Robin Doubles C level

    Please write in 'request' if you need a partner
    Round Robin Doubles Partner:

    4:30pm start Round Robin Doubles MXD ....2nd event .... $15./player
    Round Robin MXD Doubles A
    Round Robin MXD Doubles B

    Please write in 'request' if you need a partner
    MIXED Doubles Partner:


    FREE T-Shirt with combined clinic AND tourney entry by Oct 10, 2003 !
    T-shirt Size (check one)
    T-Shirt Youth Small T-Shirt Youth Medium T-Shirt Youth Large T-Shirt Youth X Large
    T-Shirt Adult Small T-Shirt Adult Medium T-Shirt Adult Large T-Shirt Adult X Large
    Order a T-Shirt only $12.
    Tax Deductible donation to the dedicated Badminton facility Project
    Amount of contribution:
    Please make checks payable to ETC


    TOTAL FEES: $

    I plan to pay via:

    Entries only valid with received payment!

    Comments:

    Events may be cancelled and fees refunded if insufficient entries are received.

    WAIVER AND RELEASE OF LIABILITY NOTE: THIS FORM MUST BE READ AND SIGNED BEFORE THE PARTICIPANT IS PERMITTED TO TAKE PART IN EVENT SESSIONS. BY SIGNING THIS AGREEMENT, THE PARTICIPANT AFFIRMS HAVING READ IT.

    Your e-mail address constitutes a signature, and by completing this box you are effectively signing the form.
    Invalid e-mails will result in rejected entries.
    Agreement by E-mail signature

    IN CONSIDERATION of my involvement in the 2003 Andy Chong Clinic and round robin doubles Registration Form Input(RTCRRD), sonsored by the PBA & Arts and Badminton Facility Project, I acknowledge, appreciate and agree that:
    1. I risk bodily injury, including paralysis, dismemberment, disability and death, and while particular rules of the sport, equipment, and discipline may reduce this risk, this risk of injury does exist, as well as the risk of damage to or loss of property;
    2. I knowingly and freely assume all such risk, both known and unknown, even if arising from the negligence of the releasees or others;
    3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual or unnecessary hazard during my presence or participation or if I observe any concern in my readiness for participation, I will immediately bring such to the attention of the nearest official and refrain from participation; and,
    4. I, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, hold harmless and promise not to sue the PBA, USA Badminton, the Arts & Badminton Facility Project Clinic & tournament committee, the Arts Badminton Facility Project, their officers, volunteers, staff, sponsors and/or agents, (releasees) with respect to any and all injury and loss arising from my participation, whether caused by the negligence of the releasees, the condition of the premises or otherwise, except that which is the result of gross negligence or wanton misconduct, to the fullest extent permitted by law;
    5. I agree to be bound by the rules and regulations of USA Badminton and I hereby stipulate that I am eligible to play in the events for which I am applying and that I understand that the above mentioned make no representation or warranty with respect to the condition of the premises or the operation of the event;
    6. I, hereby grant to Arts & Badminton Facility Project, its licensees and contractees including photographers, televisions and motion picture companies, their affiliates and subsidiaries, full television and motion picture rights including authority to film or videotape me during matches, narratives, personal interviews, or comment thereon for any and all commercial, news or other purposes together with the right to transfer or grant their rights to others, all without remuneration or compensation to me whatsoever. I have read this Release of Liability and Waiver Agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.
    FOR PARTICIPANTS OF MINORITY AGE
    This is to certify that I/We as parent(s)/ guardian(s) with legal responsibility for this participant, do consent and agree not only to his/her release, but also for myself, ourselves and my/our child involvement as stated above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

    Agreement for Minority Age participants
    Parent(s)'s/ Guardian(s)'s Signature(s)

    After you click on register, you will receive a confirmation page in a few moments. Please print or copy it for your records.



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