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First Annual Racket Championship Youth Tennis Tournament Hosted by the Rotary Club of Mt. Airy To Support Local Community Projects & Scholarships Saturday, Sept 11, 2010 South Carroll High School Tennis Facility Who are eligible to play: 3rd thru 8th grade boys and girls (from 2010-11 school year). Players will be divided into 6 groups. Level 1 boys group (3rd and 4th grades) Level 1 girls group (3rd and 4th grades) Level 2 boys group (5th and 6th grades) Level 2 girls group (5th and 6th grades) Level 3 boys group (7th and 8th grades) Level 3 girls group (7th and 8th grades) Entry fee: $20 per player, if registered before June 30 (or $25 before August 31). Each player will also be encouraged to get individual sponsors and collect donations ($20 or more) to support Rotary’s community projects and scholarships. Each Player is assured three (3) games. Awards: Champion and runner-up from each of the 6 groups will be awarded trophies/medals and certificates of achievement by the Rotary Club of Mt. Airy. Registration: Parents need to register their children by June 30 (latest by August 31). Only 16 players will be selected for each group on “first-come first-served basis”. Business Sponsors: Mt. Airy area businesses are encouraged to sponsor one of the six groups of the tournament by donating $100 to the Rotary Club of Mt. Airy. Name of each business sponsor will be displayed at the tennis courts for the entire duration of the games. Current sponsors include: 1) SK Printing, Mt. Airy/Sykesville; 2) Main Street Computer Consultants, Mt. Airy; 3) VanMar Associates, Mt. Airy; 4) PCM Associates/Project Management Consultants, Mt. Airy. Contact: For registration and information regarding this youth tennis tournament, please contact Rotarian Paul Mahata (Pmahata@verizon.net Tel: 301-275-9730), or visit the website: www.mountairyrotary.org
REGISTRATION FORM for Youth Tennis Tournament Page 1 of 2 Parents are required to fill out both sides of this registration form and sign it. Mail this form to Rotary Club of Mt. Airy, PO Box 531, Mt. Airy, MD 21771, with entry fee ($20 per participant before June 30, or $25 between July 1 and August 31). Participants are also encouraged to get individual sponsors and collect donations ($20 or more). Make all checks payable to Rotary Club of Mt. Airy. Participant Information: Name___________________________________________ Boy_________ Girl___________ Grade next Fall ’10-’11: 3rd_____ 4th_____ 5th_____ 6th_____ 7th_____ 8th_____ School attending _______________________________________________________________________ Home address__________________________________________________________________________ Contact phone number(s)____________________ ______________________________ E-mail address (optional)_________________________________________________________________ Tennis proficiency: Beginner_________ Intermediate____________ Advanced___________
How did you know about this tournament? Newspaper ad/article____ Poster____ Web Site____ Friend____ Other________________________________.
Parents Information: Mother’s name & tel #__________________________ Father’s name & tel#____________________________
REGISTRATION FORM for Youth Tennis Tournament Page 2 of 2 Parent Declaration and Release: I agree that I will provide supervision for my child and any of his/her guests at the tournament or the surrounding areas. I am aware that, while tennis is considered a non-contact sports, accidents and injuries DO occur, either through direct play in the tournament or activities related thereto. I hereby agree that, in the case of an accident or injury involving my child, I release the Rotary Club of Mt. Airy, all of its members, agents, designees and assigns from any and all liability in connection therewith. I agree that I will indemnify and hold Rotary Club of Mt. Airy harmless in connection with any such accident or injury and any action taken as a result thereof. I understand the Rotary Club of Mt. Airy does not provide medical coverage or medical insurance and that it is my own responsibility to provide for medical insurance and coverage for my child. I further authorize any volunteers, tennis tournament coordinators, Rotary members and/or referees to provide medical attention (however they are not obligated to do so) if they believe same is necessary and I release them from any liability in the event they do take such action. ________________________________________ _________________________________ Parent Signature Date Medical concerns______________________________________________________________________ Medical/Health Insurance Company_____________________________________________________________ Contact: For registration and information regarding this youth tennis tournament, please visit the web site: www.mountairyrotary.org , or contact Rotarian Paul Mahata (Pmahata@verizon.net Tel: 301-275-9730)
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