Please enter me/us in the events indicated. Enclosed is the sum of $_______ for entry fees.
Make check payable to San Bernardino Handball Club and mail to: Rick Flores, 991 Latham Street, Colton CA 92324.

Waiver: I hereby, for myself, my heirs, executors and administrators, waive and release all rights claims for damage I may have against the San Bernardino YMCA Handball Club, all officers thereof, and the San Bernardino YMCA for any and all injuries which may be suffered by me in connection with my competition in the above mentioned tournament.

Signature: _______________________________________________ Date: ___________________

Instructions: Please print this form, fill it out, and mail it along with all entry fees. To print this page on a single sheet of paper, reduce the size to 80%.