1999 New England
Regional Doubles Championships Application Form
Make Checks payable to RB
Tournaments
Print, Fill out and Mail application
with payment to: 64 Nutmeg Hill Road, Hamden CT 06514
Name:_______________________________ 1st
event _____________ Partner ____________________
Address:_______________________________ 2nd
event_____________ Partner ____________________
City:_______________________ State:_____ Zip:
________ Email: _____________________________
Home Phone: _____________ Work Phone:
_____________ Home Club: ________________________
Amount Due: $__________________ (See discounts)
Upon participating in Activities/Events
sponsored by the USRA (United Racquetball Association), CRA (Connecticut Racquetball
Association) RB Tournaments, Bristol Hospital Wellness Center, it's staff or it's
affiliated associates, I/we understand and appreciate that participation or observation of
the sport constitutes a risk to me/us of serious injury. I/we voluntarily and
knowingly recognize and accept and assume this risk and release the USRA, CRA, RB
Tournaments, Bristol Hospital Wellness Center, it's associates, their sponsors, Event
organizers and the officials from any liability therefrom.
Signature:
___________________________________________________ Date: _______________________
(Parent or Guardian if under 18) |