1999 Junior Olympics Entry Form

The Heights Casino
Baird E. Haney Junior open
October 16th – 18th 2009
October 16th – 18th 2009 (Friday – Sunday)
Note: Players must be available to play Friday
October 16th from 4pm- no exceptions.
Dates:
arrived on time, as we are NOT responsible for entries being lost in
the mail.
First-Round Start Times: posted on US Squash Thursday 15th
October 5pm.
Venue:
The Heights Casino, Brooklyn Heights - Matches
will be played at the main club on Montague Street, the Annex on
Cadman Plaza West and at Eastern Athletic on Clark Street
between the Annex and Casino.
Refund Policy:
Withdrawal prior to or on entry deadline = 100% refund.
Withdrawal after entry deadline October 5th = NO refund
Age Divisions: BU19, 17, 15, 13, 11 & GU19, 17, 15, 13, 11.
Players cannot enter more than one event.
Communications: Director: Linda Elriani /Assistant: Laurent
Elriani. Telephone 718-624-0810
e-mail [email protected] For directions, visit our
website www.heightscasinosquash.com
Consolation: Each draw will have a full feed-in consolation.
Entry Fees: USSRA members $75; Non-USSRA members $90;
Checks payable to: The Heights Casino
Mail to: Linda Elriani - Tournament Director
The Heights Casino
75 Montague Street, Brooklyn, NY 11201
Ball/Eye Protection: Dunlop Revelation Pro softball (double
yellow dot). All players are required to wear protective eyewear
on court at all times.
Refereeing: Winners and losers must referee after their match.
Entry Deadline: Entry forms and payment must be received by
Monday 5th October. NO email, telephone or fax entries.
Please be sure to contact the office to ensure your entry has
Amenities: Breakfast on Saturday & Sunday; Tournament T-shirt
and trophies.
Detach & Return Bottom Portion
Heights Casino Baird E. Haney Entry Form
(Must be received no later than, OCTOBER 5TH 2009)
Name:________________________________________________ E-mail Address:___________________________________________
Address:_______________________________________________________________________________________________________
City/State/Zip:__________________________________________________________________________________________________
Phone (day):____________________
Phone (evening):____________________
USSRA #:____________ Expires ____--____
month
Division entered: (please circle)
Boys U19 U17 U15 U13
Shirt Size:
year
U11
Phone (during event):____________________
D.O.B. ____ / ____ / ____ Age:______ (On last day of tournament)
month
Girls
day
U19
year
U17
U15
U13
U11
Youth Small Medium Large
Adult Small Medium Large
Enclosed is my entry fee for $75 ($90 non-USSRA members)
Return to: Linda Elriani - Tournament Director, The Heights Casino, 75 Montague Street, Brooklyn, NY 11201
Release of Liability: I hereby relieve, release, and forever discharge and agree to indemnify and hold harmless the participating squash facilities, The
Heights Casino, NYSRA and the USSRA, their servants, agents and employees from any and all claims and demands of any and every kind and
character for injury to my person or damage to property as a result of my participation in The Heights Casino Baird E. Haney Junior Squash Tournament,
October 16th-18thth 2009
Signed:_______________________________________________________________________________________Date:_______________________
Signature of Parent or Guardian