2015 Richmond Open Entry Form

British Columbia Table Tennis Association
Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement
(“Agreement)
1. IN CONSIDERATION of being permitted to participate in any way in British Columbia Table
Tennis sanctioned events, I and/or my minor child, our personal representatives, assigns, heirs,
and next of kin:
2015 Richmond Open
** (2-star) tournament
Presented By
B.C. Table Tennis Association
Sanctioned By
2. ACKNOWLEDGE, agree, and represent that I and/or my minor understand the nature of Table
Tennis Activities and that I and/or my minor child are qualified, in good health, and in proper
physical condition to participate in such Activity. I further agree that if at any time I believe
conditions or equipment to be unsafe, I and/or my minor child will immediately discontinue further
participation in the Activity.
Table Tennis Canada
Jan 24, 2015
VENUE: Bridgeport Sports Club
11660 Bridgeport Road
Richmond B.C.
3. FULLY UNDERSTAND that (a) TABLE TENNIS ACTIVITIES INVOLVE RISKS AND
DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY,
PARALYSIS AND DEATH, HARASSMENT, EXPOSURE TO INAPPROPRIATE CONDUCT AND
LANGUAGE ("RISKS"); (b) these Risks and dangers may be caused by me and/or my child's own
actions, or inaction, or the actions or inaction of others participating in the Activity, the condition in
which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW;
(c) there may be OTHER RISKS ANDSEVERE SOCIAL AND ECONOMIC LOSSES either not
known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL
SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I and/or my
minor child incur as a result of my participation in the Activity.
Entry Deadline: 3 pm Monday, Jan. 19, 2015
Late entries will NOT be accepted
Draw Date: Thursday, Jan. 22, 2015
4. HEREBY ACCEPT AND ASSUME ALL SUCH RISKS, KNOWN AND UNKNOWN, AND
ASSUME ALL RESPONSIBILITY FOR THE LOSSES, COSTS, AND/OR DAMAGES
FOLLOWING SUCH INJURY, DISABILITY, PARALYSIS, OR DEATH, EVEN IF CAUSED, IN
WHOLE OR IN PART, BY THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW;
5. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE BC TABLE TENNIS
ASSOCIATION, their respective administrators, directors, agents, officers, officials, volunteers,
and employees, other participants, any sponsors, advertisers, and if applicable, owners and
lessors of premises on which the Activity takes place, (each considered one of the "RELEASEES"
herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY
ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE
NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE
OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF
LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I and/or my minor child, or
anyone on my and/or my minor child's behalf, makes a claim against any of the Releases, I WILL
INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation
expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such
claim.
6. I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND
THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT
FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND
INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE
GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS
AGREEMENT S HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL
CONTINUE IN FULL FORCE AND EFFECT.
______________________________________________ ________________________________________
Signature of Participant
Print Name of Participant
______________________________________________ __________________________________________
Signature of Parent/Legal Guardian
Print Name of Parent/Guardian
(If Participant is under age 19)
Date: _____________________________________
Tournament Committee
Referee: Dr. Chandra Madhosingh
Deputy Referee: Tony Xu
Control Desk: Kam Chuen Tang, Josh Zhang
ENTRY REGULATION & DEADLINE:
-
Entry forms will NOT be accepted and processed unless accompanied by exact entry fees.
Late entry will NOT be accepted. (Local postal service takes at least Three business days)
Entry deadline: received by 3 pm Monday, Jan 19, 2015
Draw date: Thursday, Jan 22, 2015
Make cheque payable to B.C.T.T.A. DO NOT send cash by Mail.
Send entry to: B.C.T.T.A. #208-5760 Minoru Blvd., Richmond, BC V6X 2A9
For further Information, call: BCTTA
(604) 270-3393
ENTRY
- Entry forms will NOT be processed unless accompanied by correct fees.
- Late entry will NOT be accepted.
- Entry deadline: Jan 19, 2015 (Mon) by 3:00 pm
- Make cheque payable to B.C.T.T.A.
- DO NOT send cash by Mail.
We gratefully acknowledge the financial support of the Province of British Columbia through the Ministry of Community, Sport and Cultural Development
**2015 Richmond Open Entry Form
2015 Richmond Open Schedule
Saturday Jan 24, 2015
08:30
09:00
10:00
11:00
12:30
Door Opens
U-1300 Singles
U-300 Singles
Open Singles
U-800 Singles
Name:
Gender: (M/F)__________
(Please Print)(First Name) (Middle Name)(Last Name)
Saturday Jan 24, 2015
RR & KO
RR & KO
RR & KO
RR & KO
14:00 U-1800 Singles
15:30 Over 65 Singles
16:30 U-2300 Singles
17:30 Over 45 Singles
RR & KO
RR & KO
RR & KO
RR & KO
Schedule time is approximate.
AWARDS
Cash awards subject to change depending on the number of entries.
Cash prizes will be given to the following events:
Open Singles
U-2300 Singles
U-1800 Singles
1st
2n
$300 $150
$160 $ 80
$100 $ 50
3rd & 4th
$70
$40
$25
Date of Birth:
Phone: (
) :___________________
YYYY – MM - DD
Address: __________________________________________________________
City: ____________________Province: __________Postal Code: _____________
Email
address:___________________________________________________________
Rating Points:
BCTTA Membership #: ______________
Events
Entry Fee
Open Singles
$30 $25 for U15 Jr. players
U-2300 Singles
U-1800 Singles
$25 $20 $20 for U13 Jr. players
U-1300 Singles
$18 All other events – Trophies will be awarded to winners & runners-up.
U-800 Singles
$15 Equipment
Table & Net –Butterfly
Balls – 40 mm plus White Double Fish 3 Stars.
U-300 Singles
$15 Over 45 Singles
$15 Players born in or before 1970
Over 65 Singles
$15 Players born in or before 1950
Eligibility
- All participants must be members in good standing of the BCTTA, TTCAN, USATT or other ITTF
affiliated associations.
- Seeding in the draws is based on the latest Canadian ratings available at the time of the draw.
- The Tournament Committee may estimate the rating of any unrated player at any time during the
tournament and remove that player from any event for which such a rating would make the
player ineligible.
Format;
All Singles Events shall have round robins (RR) with best 3 of 5 games, followed by Single knock
outs (KO), Open Singles will be best 4 of 7 games in finals.
- The Tournament Committee reserves the right to cancel any event due to insufficient entries.
Rules
- Current ITTF Laws of Table Tennis will be in effect.
- All rackets must be one side black and one side red with ITTF approved coverings.
- Tie-breaks in round-robins will be decided by score of matches, games, points, only of those players
involved in the tie.
- Street clothes, tracksuit or any part thereof shall not be worn during match except by special
permission of the Referee (see ITTF regulations). Shorts/Skirts and short sleeve or sleeveless
playing shirt MUST be worn during match. Colour of playing shirt should not be white or
bright yellow and playing shoes must be non-marking.
- Events with fewer than 4 entries may be cancelled or combined with another event at the
discretion of the Tournament Committee.
- Unpaid entries at the time of the Draw will NOT be in included in the tournament.
Administration Fee
Rating Fee (for TTCAN)
Voting Membership Fee
Non-Voting Member Fee
One time permit fee
$5 All player must pay
$5 All Adults must pay
$3 All Juniors must pay
$30 for aged 19 and over
(good till Aug 31, 2015)
$20 for any age
(good till Aug 31, 2015)
$10 If not a BCTTA Member.
Total Amount Paid: $ ________________
Please make cheque payable to BC Table Tennis Association
PLEASE READ THE AGREEMENT OF RELEASE AND WAIVER OF LIABILITY
AT THE BACK OF THIS PAGE , SIGN AND RETURN THIS PART TO BCTTA
OFFICE ON OR BEFORE Jan 19, 2015 (MONDAY)
Umpiring
- In general, players will be required to umpire their own matches. Umpires will be provided for
semi-finals & finals.
We gratefully acknowledge the financial support of the Province of British Columbia through the Ministry of Community, Sport and Cultural Development