Fourth Annual Mission Royale Pickleball Tournament

FOURTH ANNUAL MISSION ROYALE PICKLEBALL TOURNAMENT

(50+)

SPONSORED BY MERITAGE HOMES

11 SOUTH MISSION PARKWAY, CASA GRANDE, ARIZONA 85194

DATES: WEDNESDAY, JANUARY 28 – 31,2015 (SUNDAY, FEBRUARY 1 – RAINDATE)

ENTRY DEADLINE: January 10, 2015

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MEN (3.0) & WOMEN’S (3.0) SKILL LEVEL – WEDNESDAY, JANUARY 28, 2015

WOMEN’S DOUBLES (3.5-4.0-4.5-5.0) SKILL LEVEL – THURSDAY, JANUARY 29, 2015

MIXED DOUBLES(3.0-3.5-4.0-4.5-5.0)SKILL LEVEL – FRIDAY, JANUARY 30, 2015

MEN’S DOUBLES (3.5-4.0-4.5-5.0) SKILL LEVEL – SATURDAY, JANUARY 31, 2015

DOUBLE ELIMINATION TOURNAMENT – CHECK IN 30 MINUTES PRIOR TO START – PLEASE PRINT CLEARLY

AGE AS OF 12/31/2015

Events will be played in accordance with USAPA rules and regulations in effect at the time of the tournament. We allow only that equipment approved by USAPA. Please refer to the USAPA website.

If too few teams register, we reserve the right to combine events.

Brackets may be limited to 16 teams per event. More at discretion of Tournament Director.

Start times will be emailed at a later date

REGISTRATION: Deadline is January 10, 2015

You must check in each day you play. NO EXCEPTIONS

Cancellation: There will be no refunds unless the event is cancelled and not rescheduled. Make up date will be

Sunday, February 1, 2015

CONTACTS: Tournament Director: Katie Halverson, Cell Phone: 520-858-6934, Email:

Club President: Lenny Chimino, Cell Phone: 708-710-1492, Email:

ENTRY FORM

LAST NAME ______FIRST NAME ______DOB ______

USAPA # ______EMAIL ADDRESS______

LOCAL ADDRESS______

HOME PHONE: ______CELL PHONE ______

EMERGENCY CONTACT ______PHONE______

PICKLEBALL CLUB AFFILIATION ______

PLEASE CIRCLE EVENT YOU ARE ENTERING:

WOMEN’S DOUBLES: 3.0 3.5 4.0 4.5 5.0 PARTNER______

MEN’S DOUBLES:3.0 3.5 4.0 4.5 5.0 PARTNER______

MIXED DOUBLES: 3.0 3.5 4.0 4.5 5.0 PARTNER______

FEE: $30 (REGISTRATION, FIRST EVENT AND ONE LUNCH TICKET) $5 ADDITIONAL EVENTUSAPA DISCOUNT $5

TOTAL FEE:______(US FUNDS ONLY)

WOULD YOU BE WILLING TO OFFICIATE: YES NO

If Not Using OnlineSignup:

MAKE CHECKS PAYABLE TO: MISSION ROYALE PICKLEBALL CLUB

MAIL REGISTRATION, WAIVER AND FEE TO:Katie Halverson, 116 S Birdie Way, CASA GRANDE, AZ. 85194

WAIVER FORM

I realize and understand that there are certain inherent risks to which I will be exposed because of the nature and level of sports activity for which I have registered. I understand and agree that Meritage at Mission Royale, Mission Royale Pickleball Club, Mission Royale Pickleball Club Board of Directors, their agents and officials assume no responsibility for injury or illness I may sustain as a result of my physical condition or my participation in any sports event. I understand it is my responsibility to provide my own accident and health insurance coverage and that Meritage at Mission Royale, Mission Royale Pickleball Club, Mission Royale Pickleball Club Board of Directors, their agents and officials, do not provide any accident or health insurance for their participants or volunteers.

Signature ______Waiver Date ______