-------------------------ENTRY FORM------------------------------------------------------------------------------
NAME_______________________________
ADDRESS___________________________________
CITY_________________STATE_______ZIP___________PHONE___________________________
Checks payable and mail to:
Chris Stambaugh
Shepherd University
P.O. Box 3210
Shepherdstown, WV 25443
BIRTHDATE________USTA #______________DOUBLES PARTNER_________________________
I hereby understand that Shepherd University and Jefferson High School will not be held responsible for personal injury or lost items.
SIGNATURE____________________PARENT __________________AMOUNT ENCLOSED______
EARLIEST YOU CAN PLAY ON FRIDAY, 9/3____________________________________________
check the events you wish to play:
__Mens Open Singles __Womens Open Singles __Mens Open Doubles
__Womens Open Doubles __Mixed Doubles Open __Mens 35 & Over Singles
__Womens 35 & Over Singles __Mens 35 & Over Doubles __Womens 35 & Over Doubles
__Mens 50 & Over Singles __Womens 50 & Over Singles __Mens 65 & Over Singles
__Mens 65 & Over Doubles __Mother/Daughter Doubles __ Mens 50 & Over Doubles
__ Mother/Son Doubles __Father/Daughter Doubles __Father/Son Doubles
|
Shepherd University |
P.O. Box 3210
| Shepherdstown, West Virginia | 25443-3210
(304) 876-5000 | (800) 344-5231 | FAX (304) 876-3101
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Site Maintained by cransom@shepherd.edu
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