FORTY-FIFTH
CONNECTICUT BADMINTON ASSOCIATION

CONNECTICUT OPEN
BADMINTON TOURNAMENT
January 23, 24, 25, 2004
ENTRIES: Entries must be received by Wednesday, Jan. 14, 2004.

The number of entries may need to be limited. Priority will be given to entries received in the mail with fees included.
 
Mail to: 
Dorothy O'Neil
6 Peggy Lane
Norwich, CT 06360
Phone: (860) 887-2746

Make checks payable to:
Dorothy M. O'Neil

Name __________________________________ USBA # _________________
Address ________________________________ Phone __________________________
City/State _______________________________ Zip Code _______________________
E-Mail _________________________________
 
Women's Singles [ ] Men's Singles [ ]
Women's Doubles [ ]      Men's Doubles [ ] Partner __________________________ 
Mixed Doubles [ ]  Partner __________________________ 
Senior Men's Doubles [ ] Partner __________________________ 
Senior Mixed Doubles [ ] Partner __________________________

Release and Covenant Not to Sue: By signing this entry application, I agree to waive any and all claims which may arise from my participation in the Connecticut Open Badminton Tournament. In consideration of my being permitted to participate in this competition, I, the person named below, release and discharge USA Badminton, Connecticut Badminton Association, Connecticut Open Badminton Tournament, & the Academy of the Holy Family, their employees, agents, officers, members, heirs, assigns, executors and administrators and any and all participants in this event harmless for any bodily injury to myself or others, or for damage to, or loss of, my property incurred during the course of the Connecticut Open Badminton Tournament.

I have read this agreement, understand its purpose and agree to its terms.

Signed __________________________________ Date _________________
Parent/Guardian ___________________________
(if participant is a minor)
Date _________________