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   Tournament Registration-Part 1

The sooner you register, the sooner we can formulate how the tournament will be played, so please register today!

Registration Has 2 Parts:
Part 1 - Fill Out Registration Information Below
Part 2 - Pay The Tournament Fee     pay now >

*(Your registration WILL NOT be finished until both completed parts are received.)

Part 1 - Registration Info   (https:// secure registration form)

             *All Fields Required*

first name:     last name: 
home  phone:    mobile:
your email: 
share info:    Share your email & phone w/other players doing the same?
     yes     no

  state:   zip:
birthday:      year: 
choose one:       male     female     under 18
   contact phone: 
skill level: 
experience:    Have you played in any tournament before?   yes     no
start time:    What time can you start on Thurs & Fri?   4pm   5pm   6pm
shirt size: 
doubles:  Do you want to play in the doubles tournament?   yes     no
If allowed to choose, who would be your requested doubles partner?
newsletter:    Add your email to the Tournament Newsletter?
  yes     no     I'm already on it

disclaimer:  I agree that I am a voluntary participant in the Stanly County Family YMCA’s "2010 Stanly Y Spring Challenge" program. I understand that the "2010 Stanly Y Spring Challenge" is a recreational program. I am ultimately responsible for my own level of participation, based on my physical abilities and/or limitations. I have relayed all information pertinent to any physical limitations I have, to the appropriate YMCA personnel, and I will not hold the Stanly County Family YMCA, volunteers, employees, directors, administrators or sponsors accountable for any complications suffered by me, associated with my participation in the "2010 Stanly Y Spring Challenge" program.
(Agreement is mandatory to play in the
"2010 Stanly Y Spring Challenge")

I DO agree.             I do NOT agree.

(When you submit your registration, you will be taken to Part 2, the secure pay area)

You may also print and fill out this form
and mail it & a check for $15 to:

The Media Leader
c/o RB Tournament
PO BOX 777
Albemarle, NC 28002
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