Flurrious Snow "Beach" Tennis Tournament Entry Form

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in cooperation with Buffalo Beach Tennis and Beach Tennis USA

Saturday and Sunday


January 15th and 16th, 2011
at Delaware Park’s Parkside Lodge
84 Parkside Ave - Buffalo, NY 14214

All Doubles
Saturday Schedule 10 AM – 3 PM
Events:
Men’s Doubles (Amateur) Saturday 10 AM
Women’s Doubles (Amateur) Saturday 10 AM
Men’s Open Doubles (4.0 + Tennis Players) Saturday 11 AM
Women’s Open Doubles (4.0 + Tennis Players) Saturday 11 AM

Sunday Schedule 10AM – 3 PM


Events:
12U Junior Co-ed Doubles Sunday 10 AM
14U Junior Co-ed Doubles Sunday 10 AM
Mixed Doubles (Amateur) Sunday 11 AM
Mixed Doubles Open (4.0 + Tennis Players) Sunday 11 AM
Cost: All Players $15 with portion of proceeds to benefit Buffalo Olmsted Parks Conservancy
PADDLES WILL BE PROVIDED, NO EXPERIENCE NECESSARY
Please call Dan Johnson 716-725-8803 to register.
Deadline is January 13th, make checks payable to PLAY TEAM TENNIS NEW YORK.

facebook.com/buffalobeachtennis

Buffalo Beach Tennis Flurrious Snow Tennis Tournament


Name______________________________________ phone number:____________________

Address___________________________ City _______________ State ____ Zip Code _______

Partner_________________________ e-mail _________________________________________

Check Events:
Saturday: F M Open F M Amateur F W Open F W Amateur
Sunday: F JR 14U F JR 12U F Mixed Amateur F Mixed Open

Send payment to: Play Team Tennis New York – PO BOX 15 – Orchard Park, NY 14127
Event __________________________

Date ___________________________

Buffalo Olmsted Parks Conservancy Volunteer & Event Liability Waiver (PLEASE PRINT)
Name: F Mr. F Mrs. F Miss ____________________________________________________
Email address ________________________________________________________
Address __________________________________________ City _____________State ____ Zip ___________
Emergency Contact Name: _________________________________________________________________
Emergency Contact Phone: ( )_________________
Allergies/Special Needs? F YES F NO: ____________________________________________
Legal Release must be signed before volunteer work can be performed!

I understand that volunteer or event activities may be physically demanding; I affirm that my health is good and that I am not under a
physician's care for any undisclosed condition that might endanger my health or that of other participants. I recognize the inherent
risk of injury or disability in these activities. I fully understand that each participant must assume the risk of physical injury that
could result from these activities. The City of Buffalo and the Buffalo Olmsted Parks Conservancy, their Boards of Trustees and their
staff members are also released from all Liability for any injury to me from participating in all volunteer/event related activities. The
City of Buffalo and the Buffalo Olmsted Parks Conservancy are further given free use of my likeness in connection with any broadcast,
release, media account, or other publicity generated by this event.

Signature ____________________________ Date ___ ______________________

Print Name _____________________________

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