2008 Kirk Bower Entry Form

Name___________________________________________

Address______________________________________________________

Phone  Day               Night

Doubles Partner____________________________________________

Mixed Partner_____________________________________________

Events  Please Circle                                                    Y members 1 Event $25  Non Members $35 

Open Doubles                                                                Second Event $15  

A Doubles                            Mixed Doubles                         

B Doubles                           Over 50 Doubles         

C Doubles

I hearby release any and all rights and claims for

damages I may have against the YMCA or their owners

or representatives for any and all damages and injuries suffered by me  in connection with any participation in this tournament.

 __________________________________________________________  Date    _______________________