October 28-29, 1995 Recreational Hall, UC Davis
Name (last, first): _______________________________________________ Male/Female Address: _______________________________ _______________________________ Phone number: ________________________ email address: ____________________ Shirt size: M L XL USBA Number: _________________ (You may pay a one-time fee or purchase membership at check-in.) Event Flight* Partner's Name --------------------------------------------------------------------------- Men's Singles | |*********************************** --------------------------------------------------------------------------- Women's Singles | |*********************************** --------------------------------------------------------------------------- Men's Doubles | | --------------------------------------------------------------------------- Women's Doubles | | --------------------------------------------------------------------------- Mixed Doubles | | --------------------------------------------------------------------------- *Flight may be determined by Northern California Badminton Association. **To be placed in the draw, both partners of a doubles team must submit entry forms and fees. Waiver: I understand that my participation in this activity at my own risk, and I shall defend , indemnify and save harmless the Regents of the University of California, its agents, employees and student and the U.C. Davis Badminton Club from any and every claim or demand of every kind and character which may ever be asserted by reason of injury to person or damage to property which may be suffered in connection with participation in this tournament. Signature (Parental signature if under 18):_______________________________