Please enter us in the events indicated. Enclosed is the sum of $_______ for entry fees.
Make check payable to SCHA and mail to: ____________________________.

Name__________________________________ Age______ Phone______________

Address______________________________________________________________

City______________________________ State__________ Zip________________

Partner Name___________________________ Age______ Phone______________

Partner Address_______________________________________________________

City______________________________ State__________ Zip________________

[ ] Open Doubles	[ ] Masters A (40-plus) Doubles
[ ] A Doubles	[ ] Masters B (40-plus) Doubles
[ ] B Doubles	[ ] Golden (50-plus) Doubles
[ ] C Doubles	[ ] Super (60-plus) Doubles
[ ] Seniors (35-plus) Doubles	[ ] Diamond (70-plus) Doubles

Waiver: Acceptance of this entry releases the Spectrum Club, SCHA, their agents and successors from any liability for injuries that we may incur during said tournament.

Signature: _______________________________________________ Date: ___________________

Partner: _________________________________________________ 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%.