Billy Hartig, Ambassador in the Merrimack Valley has asked that I forward this information to you. The tournament will act as a tune up for those entering the Senior Games and for those younger, a great opportunity to sharpen your skills.
Below is the registration link for the 2014 July Jamboree Pickleball Tournament in Plaistow NH at the Plaistow Community YMCA.
This is a 2 day double elimination event.
Dates: Sat. and Sun. July 26 – 27, 2014
Where: Plaistow Community YMCA, 175 Plaistow Rd Plaistow NH 03865
Events: Men’s and Women’ Doubles – July 26 and Mixed Doubles – July 27
Age: 19-70+ *
Divisions: Beginner (1.0), Recreational (1.5-2.5), Advanced (3.0), Competitive (3.5+) *
2014 JULY JAMBOREE
PICKLEBALL TOURNAMENT
Dates: Sat. and Sun. July 26 – 27, 2014
Where: Plaistow Community YMCA
175 Plaistow Rd
Plaistow NH 03865
Events: Men’s and Women’ Doubles – July 26 and Mixed Doubles – July 27
Age: 19-70+ *
Divisions: Beginner (1.0), Recreational (1.5-2.5), Advanced (3.0), Competitive (3.5+) *
Daily Times: Check in: 8 am, Meeting: 8:45 am, Start: 9 am
Events: Men’s Doubles_____ Women’s Doubles_____ Mixed Doubles_____
Entry Fee: $15 per person per event.
Make checks payable to William Hartig and mail to: Billy Hartig, 33 Stetson St, Bradford MA 01835.
bhartig@verizon.net
Entry Deadline: Registration and payment must be received by July 21, 2014.
Format of Play: Double Elimination, Upper Bracket (2 of 3 games to 11, by 2), Lower Bracket (1 game to 15, by 2)
Skill level (circle one): 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0
(http://ipickleball.org/ifp-rating-descriptions/)
(Read descriptions and select the level you consistently perform at. Can’t decide between two; pick the lower level.)
Gender: M___ F___ We’ll have hats, not t-shirts for this tournament! One size fits most.
Name: USAPA Member No:
Last First MI
Address:
Street City State Zip
Phone: ______-______-___________ Cell: ______-______-__________ DOB: ______ / ______ /
E-mail:
Emergency Contact: Phone: ______-______-
Partner’s Name ** (Use TBD if you’re still looking or Need Partner for us to try and match you with one)
Doubles: Phone: ______-______-
Mixed: Phone: ______-______-
WAIVER OF LIABILITY (Please read before signing)
I hereby agree to hold harmless the organizers and sponsors of the 2014 July Jubilee Pickleball Tournament (“The
Tournament”) from any and all claims of whatever kind and nature which I or my representatives may have or at any
time in the future have from any injury arising out of my participation in “The Tournament.” I am in good physical
condition and have no medical restrictions which would prohibit my participation in “The Tournament.” I also
understand that photos may be taken during events and these photos may be used to publicize these and / or future
tournaments.
Signature of Participant Printed Name of the Participant Date
* Skill levels may be adjusted for bracketing purposes. Age as of 12/31/2014. Higher skilled partner determines division.
** Partners must complete a separate registration and submit with the appropriate entry fee.
ALSO SIGN THE YMCA WAIVER ON THE FOLLOWING PAGE AND RETURN WITH YOUR REGISTRATION.
RELEASE AND WAIVER OF LIABILITY/
INDMENITY AGREEMENT/
PHOTO RELEASE
IN CONSIDERATION of being permitted to utilize the facilities, services and programs of the YMCA for any purpose, including but not limited
to observation of use of facilities or equipment, or participation in any off-site program affiliated with the YMCA., the undersigned, for himself
or herself and any personal representatives, heirs, and next of kin, hereby acknowledges, agrees and represents that he or she has, further
warranted that such entry into the YMCA for observation or use of any facilities, or equipment or participation in such affiliated program
constitutes an acknowledgement that such premises and all facilities and equipment thereon and such affiliated program have been inspected and
carefully considered and that the undersigned finds and accepts same as being safe and reasonably suited for the purpose of such observation, use
or participation.
IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER THE YMCA FOR ANY PURPOSE INCLUDING, BUT NOT
LIMITED TO OBSERVATION OR USE OF FACILITIES OR EQ8IPMENT, OR PARTICIPATION IN ANY OFF-SITE PROGRAM
AFFILIATED WITH THE YMCA. THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING:
#1. THE UNDERSIGNED HEREBY RELEASES, WAIVES. DISCHARGES AND CONVENANTS NOT TO SUE the YMCA,
its directors, officers, employees, volunteers, and agents (hereinafter referred to as “Releasees”) from all liability to the
undersigned, his personal representatives, assigns, heirs, and next of kin for any loss or damage, and any claim or demands
therefore on account of injury to the person or property or resulting in death of the undersigned, whether caused by the
Negligence of the Releasees or otherwise while the undersigned is in, upon, or about the premises or any facilities or
equipment therein or participating in any program affiliated with the YMCA.
#2. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and
each of them from any loss, liability, damage or cost they may incur due to the presence of the undersigned in, upon or about
the YMCA premises or in any way observing or using any facilities or equipment of the YMCA or participating in any
program affiliated with the YMCA whether caused by the negligence of the Releasees or otherwise.
#3. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR, AND RISK OF BODILY INJURY, DEATH
OR PROPERTY DAMAGE due to negligence of Releasee or otherwise while in, about or upon the premises of the YMCA
and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the
YMCA.
#4. The YMCA does not condone staff privately providing child care for program participants. Parents or guardians who hire
child care providers from among YMCA staff understand that the YMCA is not responsible for staff who conduct outside
employment, and hereby release the YMCA from any liability for acts or omissions of any staff who provide child care
outside of YMCA employment.
#5. By signing this Agreement, I hereby give my permission for the YMCA to take my photograph or a photograph of my
child(ren) and use or publish this likeness for YMCA purposes, and I release the YMCA from any claims for such use.
THE UNDERSIGINED further expressly agrees that the foregoing RELEASE, WAIVER, INDEMNITY AGREEMENT, PHOTO RELEASE
is intended to be as broad and inclusive as is permitted by the law of the State of Massachusetts and that if any portion thereof is held invalid, it
is agreed What the balance shall, notwithstanding, continue in full legal force and effect.
THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY
AGREEMENT, and further agrees that no oral representations, statements or inducement apart from the foregoing written agreement have been
made.
I HAVE READ THIS RELEASE
(Date) (Signature)
(Printed Name)
PICKLEBALL TOURNAMENT
Dates: Sat. and Sun. July 26 – 27, 2014
Where: Plaistow Community YMCA
175 Plaistow Rd
Plaistow NH 03865
Events: Men’s and Women’ Doubles – July 26 and Mixed Doubles – July 27
Age: 19-70+ *
Divisions: Beginner (1.0), Recreational (1.5-2.5), Advanced (3.0), Competitive (3.5+) *
Daily Times: Check in: 8 am, Meeting: 8:45 am, Start: 9 am
Events: Men’s Doubles_____ Women’s Doubles_____ Mixed Doubles_____
Entry Fee: $15 per person per event.
Make checks payable to William Hartig and mail to: Billy Hartig, 33 Stetson St, Bradford MA 01835.
bhartig@verizon.net
Entry Deadline: Registration and payment must be received by July 21, 2014.
Format of Play: Double Elimination, Upper Bracket (2 of 3 games to 11, by 2), Lower Bracket (1 game to 15, by 2)
Skill level (circle one): 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0
(http://ipickleball.org/ifp-rating-descriptions/)
(Read descriptions and select the level you consistently perform at. Can’t decide between two; pick the lower level.)
Gender: M___ F___ We’ll have hats, not t-shirts for this tournament! One size fits most.
Name: USAPA Member No:
Last First MI
Address:
Street City State Zip
Phone: ______-______-___________ Cell: ______-______-__________ DOB: ______ / ______ /
E-mail:
Emergency Contact: Phone: ______-______-
Partner’s Name ** (Use TBD if you’re still looking or Need Partner for us to try and match you with one)
Doubles: Phone: ______-______-
Mixed: Phone: ______-______-
WAIVER OF LIABILITY (Please read before signing)
I hereby agree to hold harmless the organizers and sponsors of the 2014 July Jubilee Pickleball Tournament (“The
Tournament”) from any and all claims of whatever kind and nature which I or my representatives may have or at any
time in the future have from any injury arising out of my participation in “The Tournament.” I am in good physical
condition and have no medical restrictions which would prohibit my participation in “The Tournament.” I also
understand that photos may be taken during events and these photos may be used to publicize these and / or future
tournaments.
Signature of Participant Printed Name of the Participant Date
* Skill levels may be adjusted for bracketing purposes. Age as of 12/31/2014. Higher skilled partner determines division.
** Partners must complete a separate registration and submit with the appropriate entry fee.
ALSO SIGN THE YMCA WAIVER ON THE FOLLOWING PAGE AND RETURN WITH YOUR REGISTRATION.
RELEASE AND WAIVER OF LIABILITY/
INDMENITY AGREEMENT/
PHOTO RELEASE
IN CONSIDERATION of being permitted to utilize the facilities, services and programs of the YMCA for any purpose, including but not limited
to observation of use of facilities or equipment, or participation in any off-site program affiliated with the YMCA., the undersigned, for himself
or herself and any personal representatives, heirs, and next of kin, hereby acknowledges, agrees and represents that he or she has, further
warranted that such entry into the YMCA for observation or use of any facilities, or equipment or participation in such affiliated program
constitutes an acknowledgement that such premises and all facilities and equipment thereon and such affiliated program have been inspected and
carefully considered and that the undersigned finds and accepts same as being safe and reasonably suited for the purpose of such observation, use
or participation.
IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER THE YMCA FOR ANY PURPOSE INCLUDING, BUT NOT
LIMITED TO OBSERVATION OR USE OF FACILITIES OR EQ8IPMENT, OR PARTICIPATION IN ANY OFF-SITE PROGRAM
AFFILIATED WITH THE YMCA. THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING:
#1. THE UNDERSIGNED HEREBY RELEASES, WAIVES. DISCHARGES AND CONVENANTS NOT TO SUE the YMCA,
its directors, officers, employees, volunteers, and agents (hereinafter referred to as “Releasees”) from all liability to the
undersigned, his personal representatives, assigns, heirs, and next of kin for any loss or damage, and any claim or demands
therefore on account of injury to the person or property or resulting in death of the undersigned, whether caused by the
Negligence of the Releasees or otherwise while the undersigned is in, upon, or about the premises or any facilities or
equipment therein or participating in any program affiliated with the YMCA.
#2. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and
each of them from any loss, liability, damage or cost they may incur due to the presence of the undersigned in, upon or about
the YMCA premises or in any way observing or using any facilities or equipment of the YMCA or participating in any
program affiliated with the YMCA whether caused by the negligence of the Releasees or otherwise.
#3. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR, AND RISK OF BODILY INJURY, DEATH
OR PROPERTY DAMAGE due to negligence of Releasee or otherwise while in, about or upon the premises of the YMCA
and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the
YMCA.
#4. The YMCA does not condone staff privately providing child care for program participants. Parents or guardians who hire
child care providers from among YMCA staff understand that the YMCA is not responsible for staff who conduct outside
employment, and hereby release the YMCA from any liability for acts or omissions of any staff who provide child care
outside of YMCA employment.
#5. By signing this Agreement, I hereby give my permission for the YMCA to take my photograph or a photograph of my
child(ren) and use or publish this likeness for YMCA purposes, and I release the YMCA from any claims for such use.
THE UNDERSIGINED further expressly agrees that the foregoing RELEASE, WAIVER, INDEMNITY AGREEMENT, PHOTO RELEASE
is intended to be as broad and inclusive as is permitted by the law of the State of Massachusetts and that if any portion thereof is held invalid, it
is agreed What the balance shall, notwithstanding, continue in full legal force and effect.
THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY
AGREEMENT, and further agrees that no oral representations, statements or inducement apart from the foregoing written agreement have been
made.
I HAVE READ THIS RELEASE
(Date) (Signature)
(Printed Name)
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