PLAYER PACKAGE: Every participant will receive a

PLAYER PACKAGE: Every participant will receive a tournament T-shirt and there will
be fruit and snacks at the club over the weekend.
MINIMUM OF 3 MATCHES PER PLAYER, trophies for Winners and Finalists.
PLAYER OBLIGATIONS: Both winner and loser must referee the next match. Players
must be available between Saturday 9:30 AM and Sunday 4:00 PM
START TIMES: Will be available after 4:00pm on the Wednesday before the
tournament. Will be posted on www.ussquash.com and emailed to all players.
VENUE: Madison Squash Workshop, 3118 Kingsley Way #3, Madison, WI 53713
ENTRY DEADLINE: January 16, 2013. No refunds will be made after this date. All
entries to be made by mail.
ENTRY FEE: $80. US SQUASH membership is required to participate.
Please send the entry form and check (if paying by check) to Madison Squash
Workshop, made out to Jonas Laursen. If paid with credit card a 3% fee will be added.
CONTACT: Jonas K. Laursen, [email protected], 1-608-277-0655.
Fill out sheet below and send with payment, Thanks!
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Name: …………………………………………………Name of Parents……………………………………………
Street:………………………………………………………………………………….Apt:……………………
City:……………………………………………………………………………………Zip:…………………..
Home Tel:…………………………………… Tel: During Tournament…………....………………………….
Fax:………………………………………………..Email:………………………………………………………
USSRA #…………………………………………………………………………………………………………
Age/DOB………………………………………………...(On last day of tournament)
Category entered (please circle)
Boys U19 U17 U15 U13 U11 Girls U19 U17 U15 U13 U11
Shirt Size S M L XL Entry Fee: USSRA Members $80
Make ENTRY FEE checks payable to Jonas Laursen No refunds after last entry date.
Please send to: Madison Squash Workshop, Att Jonas Laursen, 3118 Kingsley Way #3, Madison, WI 53713
Players must be available for the ENTIRE weekend. No allowance can be made for conflicting events.
WAIVER: I agree to abide by the rules & regulations set forth by Madison Squash Workshop & its staff. In
consideration of my being permitted to participate at Madison Squash Workshop & its tournament. I the
undersigned, hereby release & hold harmless Madison Squash Workshops staff from all claims, losses, damages or
expenses because of personal or bodily injury incurred in conjunction with the above mentioned programs
Signature………………………………………………………………Date………………………………….
Credit Card ………………………………………………………………………………………………… Exp ……………….