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More and Tourney Info Click Here!
ON-Line Registration
June 10, 2006
PBA Badminton ABC + Juniors Round Robin Doubles tourney
a PBA Badminton fundraiser
Phoenixville YMCA, 400 E. Pothouse rd, Phoenixville, Pennsylvania 19460
Directions to PHX YMCA - click Here!
request partner OK!
Mixed teams OK!
Be prepared to stay all day!

Great practice for NJ! Open to players from NJ, PA, DE, MD, CT, NY, RI, MA, etc.,

Saturday June 4, 2005

9:00am Doubles Championships
9am Cs and JRs U16 start
10:30am Bs start
12noon Cs and JRs MXD
2pm B MX start
4pm As Start
6pm A MXD
Be prepared to stay all day until 9pm!
JR division is U16 - If we get enough for a U13 bracket we will add that category - All Jrs please write age in on entry!


A level = Competitive Tournament Player
B level = Advanced club or team player
C level = Moderate club or team player
D level = novice
JR for this event is U16
If we have enough U13 entries we will add that division.


Lots of play Lots of Fun!

Location:
YMCA
400 e. Pothouse Rd., Phoenixville, PA Directions at: http://www.phoenixvilleareaymca.org

Registration available on-line below
http://www.USbadminton.net
Contact: Eric Miller

DEADLINE: June 1, 2006! PLEASE REGISTER EARLY!

NAME
First Name: Last Name: nickname: Age:
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:

NON-Member Fees: $20./player 1st event, $15. 2nd event
PBA or YMCA Member Fees: $18./player 1st event, $12. 2nd event
Check payable to the YMCA

Format: Round Robin, 2 games to 15, no set. if bracket is over 5 teams, then 2 games to 11, no set. Divisions with insufficient entries may be combined with the next higher bracket.

MENS DIVISION
WOMENS DIVISION

PBA DOUBLES
Round Robin Doubles A Level
Round Robin Doubles B Level
Round Robin Doubles C level
Round Robin Doubles JR level

Please enter your PARTNER here, write in 'request' if you need a partner
Round Robin Doubles Partner:
(note: no collegiate limit for PBA doubles)


Round Robin MXD Doubles A level
Round Robin MXD Doubles B level

Please enter your MXD PARTNER here, write in 'request' if you need a partner
Round Robin Doubles MXD Partner:

Amount of contribution:
Please make checks payable to YMCA

Volunteer to Help!
I would like to volunteer to help at the desk
I would like to volunteer to help at the food counter
I would like to volunteer to help keep score/umpire for young players
I would like to volunteer to help at the serving booth

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 PBA Badminton round robin doubles tourney sponsored by the YMCA and the PBA , 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 YMCA and the PBA & tournament committee, the , 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 YMCA and the PBA, 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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