June 9, 2015 • Sandestin Golf & Beach Resort, Destin, FL Tennis Tournament Registration Form Take advantage of this opportunity to sharpen up your tennis game in an exceptional setting, and network with other participants in a Singles Tennis Tournament. For the $40 registration fee, receive entry into the tournament (beginning matches to be determined by Sandestin Tennis Pro) PLUS 1 can of USTA approved balls. Sign up today! □ Judge Bar Roll Number _________________ First Name for Badge _______________________________________ □ Ms. □ Mr. Name ________________________________________________________________________________ Firm Name________________________________________________________________________________________ Address _________________________________________________________________________________________ City/State/Zip _____________________________________________________________________________________ Office Phone _________________________________ Fax ________________________________________________ Tennis Singles Tournament Subtotal Tennis Tournament Registration form should be returned with your Annual Meeting Registration. Include the entry fee with your total payment. Use the form to register yourself for the singles tennis tournament, or to register you and your guest for the singles tennis tournament. The USTA rating is only for the tennis pro to assign matches, leave blank if non-applicable. In registering to play in this tennis activity, I do hereby release the Louisiana Judicial College and the Louisiana State Bar Association of any injuries that are incurred as a result of participating in the event in any way. Non-alcoholic drinks, beer and light refreshments will be served. □ Name: __________________________________________________ USTA rating*_________ Email (for confirmation): _____________________________________________________ Cell Phone : _________________________________________________________________ □ Name: __________________________________________________ USTA rating*_________ Email (for confirmation): _____________________________________________________ Cell Phone: _________________________________________________________________ .$40 ______ .$40 ______ □ Pay by Check: Make checks payable to the Louisiana State Bar Association. Amount Enclosed $________________ □ Please check here or contact the LSBA if you have a disability which may require special accommodations at this conference. The LSBA is committed to ensuring full accessibility for all registrants. Please return this form with your remittance to: Seminar Registration – Louisiana State Bar Association 601 St. Charles Ave. • New Orleans, LA 70130-3404 (504)619-0137 • (800)421-5722 • fax (504)566-0930