HumboldtTennisClub TournamentRegistration ParticipantInformation FirstName:__________________________________________________________________________________ LastName:___________________________________________________________________________________ DateofBirth:__________________Age:_______School:__________________grade:______________ StreetAddress:_____________________________________________________________________________ City:______________________State:_____________ Zip:_____________________ CellPhonefortournamentinfo(_________)_________-____________ Contactcellphonenumberforupdatesduringtournament. USTAorUTRPlayerLevel_________PlayerlevelonSchoolLadder:_____________ Coach’sName________________________________Coach’sPhone:______________________________ Coach’sEmail:_________________________________________________ ParentcontactInformation- Name:________________________________________ Email:______________________________________________________ HomePhone(_________)___________________-_____________________ CellPhone(__________)_______________-___________________________ MakeChecksPayableinamountof:$20 Madeoutto:HumboldtTennisClub Emailto:[email protected] Dropoffat:HitsandKicks853HStreet(OnthePlaza) TournamentDirector: Peter(textorcall707.616.4781) MedicalReleaseForm LIABILITY/MEDICAL RELEASE Player’s Name:_____________________________________ Date of Birth:__________ EMERGENCY INFORMATION Parent/Guardian Name:____________________________________________________ Home Ph:____________________ Work Ph:_________________________ Parent/Guardian Name:___________________________________________________ Home Ph:____________________ Work Ph:_________________________ Allergies:____________________________________________________________ Other Medical Conditions:________________________________________________ Medical Insurance Company:_____________________________Phone:_____________ Policy Holder:_________________________ Policy Number:______________________ Player’s Physician:________________________________Phone:___________________ In an emergency, when parent/guardian cannot be reached, please contact: Name:___________________________________Home Ph:_____________Work Ph: _______________ Name: __________________________________Home Ph:_____________Work Ph: ________________ PLAYER OR PARENT/GUARDIAN AGREEMENT I, as the adult-age player or the parent/guardian of the registered, minor player, agree to abide by the rules of the Humboldt Tennis Club, USTA and its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with tennis and in consideration for the Humboldt Tennis Club and USTA accepting the player for its tennis programs and activities, I hereby release, discharge and/or otherwise indemnify the Humboldt Tennis Club, USTA and its affiliated organizations and sponsors, their employees and associated personnel, including the owners of courts and facilities utilized for the programs, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the program and/or being transported to or from the same, which transportation I hereby authorize. Adult Player or Parent/Legal Guardian of Minor Player (Print) Name:___________________________________ Date:_______________________ Signature:_________________________________________________ CONSENT FOR MEDICAL TREATMENT As the adult player or parent/legal guardian of a minor participant in Humboldt Tennis Club/USTA programs, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well being of the player. Date:________________________ Signature:_________________________________________ Emailto:[email protected] Mailto:HumboldtTennisClub:600FStreetSte.3#820Arcata,CA95521 AnyQuestionscallPeterat707.616.4781 TOURNAMENT INFORMATION @humboldtTennisClub on Facebook Location: Arcata High School Information: Level-Based Draw means… MORE CLOSE MATCHES = MORE FUN! Your placement in a level-based draw will be based on your ability (not age or gender biased). That means good fun, competitive play for the beginner or advanced. You will get a set number of matches in a draw that will increase the likelihood that you have matches both good for your development and good for your opportunity to improve your level. Minimum number of matches for each player in this tournament: 3 (hopefully we will average around 6 matches each!) FORMAT: Level-based Round Robin The tournament has the flexibility to format match, set and game scoring to best fit the number of players and courts to give players the most amount of matches possible. • 8 game pro set or best of 3 sets match(no add scoringTBD). • Minimum 3 matches • Players can expect to play in a round robin style group with other players at a similar level. • Results in the group play will guarantee the most competitive in final grouping and ranking in future Tournaments. In other words if your matches are close you will stay at a similar level… if your matches are not close you will move to a more competitive level… CLOSE MATCHES = MORE FUN! Coaching: Coaching may be allowed by a Tournament Director approved coach and after signing a coaching agreement. Coaching can happen at changeover, within the regular pace of play and without verbal interruption. Parents may not coach unless they are a regular staff member at one of the represented clubs or school teams. IMPORTANT: The Tournament Director will make every effort to place players in draws that are beneficial for the player. Tournament Director: Peter Dauphinee 707-616-4781
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