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STTC Tournament Entry Form – Fall 2019

• Date: Saturday, October 19th
• Deadline: Friday, October 18th
• Entry Fee: $20 (may be paid at the door)
• Location: 501 South Douglas Ave., Springfield, IL 62704
• Check-in Time: 8:00 to 8:45 am
• Start Times: Opening round 9:00am / Juniors & Handicapped 10:00am

Player Information

• *Name
• Doubles Partner (if known)
• *
  Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\’IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountry
• *Phone
• Affiliated Club (if any)
• Email *

Events

• Check all that applyJunior Singles (17 & Under)Open SinglesOpen Handicapped SinglesOpen Doubles (Class A or B )
• – Players not present when match is called will be defaulted.
  – Tournament director may make changes to format as required.
  -There will be an opening round robin for placement into classes A, B & C. Each class is divided into (2) groups with the top (2) advancing out of each group.
  – Those entered in the Junior & Handicapped Singles may need to play through lunch.
  – New Event: Open Handicapped Singles will be single elimination open to anyone not playing in the junior event. (1) handicap point for each full (100) rating points differential will be awarded for each game to the lower rated player.
  – All matches will play to best of (5), except Handicapped will play to best of (3).

Winnings

• Juniors Trophies 1st & 2nd
• Class A Singles 1st $50 / 2nd $25 (min.)
• Handicapped 1st $20 / 2nd $10
• Class B Singles 1st $40 / 2nd $20 (min.)
• Class C Singles 1st $20 / 2nd $10 (min.)
• Doubles 1st $10 / 2nd $5
  (A & B Doubles)

Questions:

• Please contact Rick Goertz for any questions: Contact Us

Waiver

• By submitting, I (entrant) hereby release any and all sponsors, Douglas Avenue United Methodist Church, Sangamon Table Tennis Club and STTC members from any and all claims, actions, or demands for any loss, damage, or injury sustained by my person or property. I am assuming full risk and responsibility for my participation in this tournament. Parent or legal Guardian must submit form for a minor.
• Thank You and we will look forward to seeing you there! Please submit a separate entry form for each entrant.
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