HEBER SPRINGS Come and Have Fun!! Pickleball Tournament Pickleball Tournament Events Entry Form (One entry form per person) August 14 and 15, 2015 Friday Check-In: 11:00-12:00 AM Play begins at 12:00 PM Saturday Check-In: 8:00-8:30 AM Play begins at 9:00 AM _____ Mixed Doubles Name: _________________________________ ______ Men’s Doubles Address: _______________________________ _______ Women’s Doubles Skill Level 201 Bobbie Jean Ln. Heber Springs, AR 72543 (501) 362-4901 ______ B (4.0 & 3.5) ______ C (3.0 & below) (one person per entry form) (Events times will not be posted until after Aug. 1, 2015) Note: Play format will be determined based on number of entries though participants are guaranteed multiple games and/or matches. A minimum of 5 teams is required. Deadline All entries must be received by 6PM on Aug. 1st. No Refunds Rules IFP/USAPA rules apply. Minimum age requirement is 18. Tournament Director Tyler Irwin (501) 362-4901 [email protected] Phone #: _______________________________ Email: _________________________________ ______A (4.5 & 5.0) Entry Fee $25.00 Entry fee must accompany entry form. City: ______________ ST: ______ Zip: ________ Mix Dbles Partner: _______________________ Doubles Partner: _________________________ T-Shirt Size: (Circle One) Starting times will be posted on the Parks and Rec website at www.heberspringsparksandrec.com (click on pickleball on homepage ) by Wednesday, August 12, after 6:00PM. Make check payable and mail to: City of Heber Springs c/o Pickleball Tourney 201 Bobbie Jean Ln. Heber Springs, AR 72543 Sm Med Lg XL XXL WAIVER: I certify that I am physically fit to participate in all Heber Springs Community Center program activities. In consideration of your acceptance of registration; I hereby, for myself, my heirs, executers and administrators, waiver and release any and all rights and claims for damages that I may have against Heber Springs Community Center and the City of Heber Springs, its representatives, successors, and assigns for any and all injuries suffered by myself at any activity sponsored by these groups. I also understand and grant permission that my photo, video and/or audio may be used for publications and/or advertisements by the City of Heber Springs and the Heber Springs Community Center. Signature Date Join us in beautiful Heber Springs, Arkansas for our First Annual Pickleball Tournament to be held at our wonderful Community Center! --- Multiple matches guaranteed 1st annual --- T-Shirt Pickleball Tourney --- Multiple skill levels --- Refreshments Heber Springs-We’ve got lakes to swim, Rivers to fish, Bluffs to climb Trails to hike And much, much more! Heber Springs Community Center 201 Bobbie Jean Ln. Heber Springs, AR 72543 (501) 362-4901 www.heberspringsparksandrec.com August 14 and 15, 2015 Heber springs Community Center 201 Bobbie jean ln. Heber Springs, ar 72543 (501) 362-4901
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