ITF BEACH TENNIS TOUR WITHDRAWAL FORM

NB: ALL withdrawals must be made on this official form

PLEASE WRITE IN BLOCK CAPITALS

TOURNAMENT
CITY: COUNTRY:
Santana de Parnaiba
Brazil

PRIZE MONEY CATEGORY: BT10 DATES: 05/03/2024

PLAYER N° 1
PLAYER FIRST NAME: PLAYER FAMILY NAME:
Maria Cristina Caruccio

DATE OF BIRTH (DAY-MONTH-YEAR): GENDER: MALE / FEMALE

NATIONALITY: ITF WORLD RANKING: YES / NO

EMAIL: TELEPHONE (Inc. Country code):

REASON FOR WITHDRAWAL:

*SIGNATURE: DATE:

PLAYER N° 2
PLAYER FIRST NAME: PLAYER FAMILY NAME:

DATE OF BIRTH (DAY-MONTH-YEAR): GENDER: MALE / FEMALE

NATIONALITY: ITF WORLD RANKING: YES / NO

EMAIL: TELEPHONE (Inc. Country code):

REASON FOR WITHDRAWAL:

*SIGNATURE: DATE:

By submitting this withdrawal, each player declares that he/she has read and understood and will
abide by the Rules of Beach Tennis as approved by the International Tennis Federation, the ITF Beach
Tennis Tour Rules and Regulations, as amended from time to time by the ITF.

PLEASE FAX OR EMAIL THE FORM TO THE ORGANISERS BEFORE THE

APPROPRIATE WITHDRAWAL DEADLINE**.
Tournament information, including withdrawal deadline and organiser contact details, can be found
on the tournament fact sheet at www.itftennis.com/beachtennis/tournaments.

*Withdrawals cannot be accepted without the signature of BOTH players.

**It is the players’ responsibility to ensure withdrawals are submitted to and received by the
tournament organiser before the appropriate deadline.