Tennis Leicestershire Entry Form

Surname
Given Name
Gender	Male Female
Club
Date of birth	dd.mm.yy
Address1
Address2
Town
Postcode
Home Phone
Phone during tournament
LTA Rating
Email Events Entered	* * Please check carefully you have your email address entered correctly

1st Event
Partner (if Doubles)
2nd Event
Partner (if doubles)
3rd Event
Partner (if doubles)
4th Event
Partner (if doubles)
5th Event
Partner (if doubles) LTA Number Handicap Events
Similar players (Handicap only) League details (Handicap only) Time exemption requests	If you are entering a handicapped event, please make sure you have provided your LTA rating above and complete the following; Provide the names of two players and their club below who have previously entered this tournament and are a similar standard to yourself. - If you have played in the Leicestershire League indicate below your club, team, division, partner(s) and year you last played. Request for Leave of Absence: Please indicate below if there are times when you are unable to play. Note : if entering 4 or more events no leave of absence is permitted. 3 events - You may request a half day or a night leave of absence 2 events - You may request one full day or 2 nights leave of absence 1 event - You may request two full days or 3 nights leave of absence Requests for a late evening count as half a night. In addition, if you can play during the day before 5pm on Monday through until Friday please indicate below


	Sat Jul 29 Sun Jul 30 Mon Jul 31 Tue Aug 1 Wed Aug 2 Thu Aug 3 Fri Aug 4

Special requests Additional Fees Conditions	Terms and Conditions For all entrants please type I Agree below to confirm that you give consent and authority for a- Emergency medical treatment as maybe recommended by an approved medical authority. b- To be involved in any publicity connected with the tournament including photographs. c- The tournament organisers to use the details provided on the entry form to communicate any information to you about this and future events. In addition for all junior entrants we also require emergency contact details of parent/carer confirming that he/she is the person with parental responsibility for the player. Enter this in �special requests� box above. Please type " I Agree" to the terms and conditions
Payment Method Total Entry Fee	Credit Card Paypal Bank Transfer Cheque Visa, Mastercard, Amex or Paypal payments to be made after you have entered below with the Send Entry button by going back to the first page and then selecting Pay Fees under where you clicked Enter Tournament. Bank Transfer Direct Deposit or cheque mailing details will be sent to you via email once you have submitted your entry.

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