THE 2004 SUMMERS CUP

a ussra sanctioned tournament

       where:     UNION BOAT CLUB

                                144 Chestnut Street

                                Boston, MA   02108

        when:      December 3-5, 2004

        what:       coed 4.5(B)   men’s 50+       men’s 60+

        ball:         Dunlop  Double Yellow Dot

       contact: Mark Lewis ph. 617-720-2252 fax 617-725-0569  or email at LEWMARK1@mindspring.com

       entry deadline:  WEDNESDAY DECEMBER 1st

       cost:  $40 for USSRA members  $50 for non-members

*EYEGUARDS MANDATORY

*ALL ENTRANTS GUARANTEED AT LEAST TWO MATCHES AND TOURNAMENT T-SHIRT.

*PRIZES FOR WINNERS AND FINALISTS.

*PLAY WILL START AT 5:00 pm FRIDAY DECEMBER 3rd

*CALL THURSDAY DECEMBER 2nd AFTER 1:00 pm FOR                                                            PLAYING TIMES.

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make checks payable to Union Boat Club

return entry to Union Boat Club, 144 Chestnut Street, Boston, MA  02108

NAME_________________________________________________                      SHIRT SIZE  (circle one)    M          L         XL 

ADDRESS______________________________________________  

USSRA RATING (if applicable)_____________

Division (circle one)     4.5        50+          60+     

USSRA #____________________________

BIRTHDATE ______________________

PHONE (work)_____________________________(home)_________________________

(email)___________________________________________________________

SEEDING INFORMATION ________________________________________________________________

_______________________________________________________________________________________________

DISCLAIMER

In consideration of my entry appearance, I do hereby for myself, my heirs, executors, and personal representative, waive, release, and forever discharge any and all rights and claims for damages which I have or which may hereafter accrue to me against USSRA, MSRA, The Union Boat Club, and Mark A. Lewis, for any and all damages which may be suffered by me in connection with my association or entry in or participation in the 2004 Summers Cup squash tournament.

Signature:__________________________________________  Date:____________________________