ENTRY FORM: Make copies for all additional entries:

PARENT & CHILD LEVEL A LEVEL B	ROUND ROBIN FORMAT Saturday, June 14 at 3:00pm

Parent & Child Team maybe any Combination , 14 years or older Note - NTRP Ratings: Level A 4.0, Level B 3.5

TEAM REPRESENTATIVE: You will be responsible for notifying your partner(s) of playing times
Name: Birth Date:
Address: City: State: Zip:
Telephone: Home Work:
Cell: Email:
Club Affiliation: Phone:
Name of Club Pro: NTRP Rating:

CHILD PARTNER:
Name: Birth Date:
Address: City: State: Zip:
Telephone: Home Work:
Cell: Email:
Club Affiliation: Phone:
Name of Club Pro: NTRP Rating: