Entry Form - Bellingham Athletic Club

Thank You to Our Sponsors:
Bellingham Athletic Club
Presents:
Thank you for supporting the patients at your Cancer
Center. Your donations fund the following programs
and services:
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Massage, Reiki or hypnotherapy—fighting the side
effects of cancer treatment.
Yoga
Meditation
Qi Gong & Tai Chi
Support groups
Healing Through Creativity Art group
Books and cd’s in our resource center
Wigs, hats & scarves
Earbuds for privacy in chemo suites
Thermometers, lip balm and body lotion
All services are free to patients because of the
generosity of donors.
For information on any of these services, please contact
Carol Brumet, Outreach Coordinator 360-788-8220
[email protected]
In Honor of
Sharon Chandler
October 1 & 2, 2016
All proceeds benefitting:
PeaceHealth St. Joseph
Cancer Center
Located in Bellingham, Washington
Assorted baskets of
goodies will be raffled
off each day of the event.
All monies collected
will help the patients of
the PeaceHealth Cancer
Center.
October 1:
Women’s Singles , Women’s
Doubles and Juniors.
October 2:
Mixed Doubles & Men’s Singles
 Winner of Men’s Open/Elite and
Women’s Open/Elite Draw will receive Free First Event
Entry to the 2017 Annual Northwest Open Tournament.
 Second Place will receive half off first event entry to the
2017
Northwest Open.
Cost: 1st event-$30
2nd event-$10
Entry Fee Includes: Lunch and Beverages, Good Fun & A LOT of
Racquetball play!
This will be a WRA Sanctioned Event; you will be awarded
points in the division you enter.
WRA Membership Options:
$50-USRA renewal for current members
$25-NEW USRA member ($25 paid by the WRA)
The WRA and WJRA will pay for all junior USRA Membership fees. Half the Jr.
entry fee is paid by the WJRA. Juniors pay only half your entry fee. ($15.00)
Location:
Bellingham Athletic Club
4191 Meridian St
Bellingham, Washington
(360)-676-1800
Tournament Ball: Wilson Hope Ball
Tournament Directors: Wanda Collins & Jessie Scott
Start times: Will be available at the front desk by 12pm on
Thursday, September 29. 360-676-1800.
Official Rules: Current USRA rules apply.
Approved Eyewear Mandatory.
 LOSERS referee next match.
 MATCHES WILL BE 2 OUT OF 3 GAMES TO 11 POINTS.
DIVISIONS
___Women’s Singles (Saturday Only)
___O/E ___A ___B ___C/D
___Women’s Doubles (Saturday Only)
___O/E ___A/B ___C/D
Partner:____________________________
___ Juniors (Saturday Only)
___8MB___10(2B)___10___12___14 ___16 ___18
___Men’s Singles (Sunday Only)
___O/E ___A ___B ___C/D
___Mixed Doubles (Sunday Only)
___O/E ___A/B ___C/D
Partner:___________________________
Mail form with fee to:
Bellingham Athletic Club
4191 Meridian St,
Bellingham WA, 98226
Make check payable to: Bellingham Athletic Club
NAME: ______________________________
PHONE:_______________________
ADDRESS:___________________________
CITY:_________________STATE:___ZIP:___
BIRTHDATE:___________________
HOME CLUB:___________________
I hereby, for myself, my heirs, executors, & administrators waive & release any &
all claims for damages I may have against Bellingham Athletic Club & their respective agents, representatives, successors, & assigns for any & all injuries
which may be suffered by me in connection with my competition in said tournament on October 1-2, 2016.
SIGNATURE: ___________________________________