Please enter me in the events indicated. Enclosed is the sum of $_______ for entry fees.
Make check payable to SCHA and mail to: SCHA, 503 38th Street, Newport Beach CA 92663.

Name__________________________________ Age______ Phone______________

Address______________________________________________________________

City______________________________ State__________ Zip________________

x

[ ] Open Singles	[ ] 45-plus Singles
[ ] A Singles	[ ] 50-plus Singles
[ ] B Singles	[ ] 55-plus Singles
[ ] C Singles	[ ] 60-plus Singles
[ ] Women's Singles	[ ] 65-plus Singles
[ ] 40-plus Singles	[ ] 70-plus Singles
[ ] Join the SCHA

Waiver: Waiver and release must accompany a signed entry. The undersigned, in consideration of this entry being accepted, hereby assumes all responsibilityÊ for any and all risk of damage or injury that might occur or arise from participation in the above event.Ê The undersigned specifically releases and discharges the Southern California Handball Association, Spectrum Club, and their agents, representatives, successors or assigns, for any or all injuries which may arise from participation.

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%.