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The Diff Doubles June 15th 2013


A portion of the proceeds will be donated to an organization that helps orphans in China called Show Hope

Adams County Fairgrounds 9755 Henderson Road Brighton CO 80601

Divisions: Fees:

12U, 14U, 16U, 18U, Womens (18+), Co-ed, Mens (sand) $30/player or $60 per doubles team if registered by June 11th ($35/person or $70/team for walk ups). Please make checks out to The Diff (Anything above and beyond the entry fee will receive a tax donation letter). Trisha Kroll, 303-594-3155 or atigakrolls@aol.com Pool play in the morning and bracket play in the afternoon. Prizes will be awarded to the first place all around finishers for each division.

Contact: Format:

Check in will begin at 7:15am. Rules meeting at 7:30am. Play will begin at 8:00am

Organization

(xxx)yyy-yyyy

THE DIFF DOUBLES TOURNAMENT


June 15th, 2013 8:00am Location: Adams County Fairgrounds 9755 Henderson Road Brighton CO 80601 Contact: Trisha Kroll, 3035943155, atigakrolls@aol.com Check in begins at 7:15am, Rules meeting 7:30am play begins at 8:00am Divisions: (Circle One) Doubles: Mens (sand) Co-ed Youth 16 U Youth 12 U Womens (18 and Older) Youth 18 U Youth 14U

Team Name: _____________________________________________________ Team Captain: Name __________________________ Cell #__________________________ Player #1: Name: __________________________ Address: ___________________________________ Phone: ______________________ Email: __________________________ Date of Birth: ___________________ Player #2 Name: __________________________ Address: ___________________________________ Phone: ______________________ Email: __________________________ Date of Birth: ___________________ I have an outdoor net for use at the tournament _____ I have an outdoor ball for use at the tournament _____ Person and email to contact for use of the net and ball Name: __________________________ Email __________________________ RELEASE AND WAIVER STATEMENT: In consideration of the acceptance of this entry, I release The Diff, the Krolls/ Lindgrens/ Hamiltons and any other sponsor, volunteer, and their respective officers, members, agents, and employees from all actions, claims, and demands of any kinds and nature that may arise from or in connections with my participation in any aspect of this event. I accept the risks involved and waiving all rights of any kind that otherwise might exist. In addition, I waive any claims I might have in connection with the cancellation or rescheduling for whatever reasons. I represent that my physical conditioning, to the best of my

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knowledge, is adequate to complete safely in this event and that no physician or other qualified person has advised me against participating in such an event. I sign on behalf of myself and my heirs, personal representatives, and assigns. (Signature of parent or guardian is required is applicant is under 18 years of age.) Photograph Release: I permit The Diff and the Krolls or those working with The Diff and the Krolls to take and use photographs of myself/child for the purpose of promoting adoption programs and activities. This includes permission to publish photographs of myself/child for such purposes. Youth under 18 Parents Please sign Waiver Signed Player #1:______________________________ Signed Player #2:______________________________ Fee $30/player or $60/team REGISTRATION DEADLINE IS June 11th walk ups will be $35/player or $70/team anything over the entry fee will receive a tax donation letter. A portion of the proceeds will go to Show Hope, an organization that helps Orphans in China. Return completed form and check (Please make checks payable to The Diff) to: The Difference Maker 10485 E Henderson Rd Brighton CO 80601

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