REGISTRATION Click here for PDF file version for printing and mailing.

First Name:	Required
Last Name:	Required
Club Affiliation:
USAB Membership Number:	If Applicable
Address:
City:
Province/State:
Country:
Postal/Zip:
Email:	Required
Phone:
BirthDate:	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Sex:	Male    Female
Events Open to all players who qualify by age before December 31, 2004. If you need a Partner please fill-in as "Request"
Classic 35+MD	Partner
Classic 35+MS
Classic 35+MXD	Partner
Classic 35+WD	Partner
Classic 35+WS
Classic 40+MD	Partner
Classic 40+MS
Classic 40+MXD	Partner
Classic 40+WD	Partner
Classic 40+WS
Classic 45+MD	Partner
Classic 45+MS
Classic 45+MXD	Partner
Classic 45+WD	Partner
Classic 45+WS
Classic 50+MD	Partner
Classic 50+MS
Classic 50+MXD	Partner
Classic 50+WD	Partner
Classic 50+WS
Classic 55+MD	Partner
Classic 55+MS
Classic 55+MXD	Partner
Classic 55+WD	Partner
Classic 55+WS
Classic 60+MD	Partner
Classic 60+MS
Classic 60+MXD	Partner
Classic 60+WD	Partner
Classic 60+WS
Classic 65+MD	Partner
Classic 65+MS
Classic 65+MXD	Partner
Classic 65+WD	Partner
Classic 65+WS
Classic 70+MD	Partner
Classic 70+MS
Classic 70+MXD	Partner
Classic 70+WD	Partner
Classic 70+WS
Classic 75+MD	Partner
Classic 75+MS
Classic 75+MXD	Partner
Classic 75+WD	Partner
Classic 75+WS
Classic OpenMD	Partner
Classic OpenMS
Classic OpenMXD	Partner
Classic OpenWD	Partner
Classic OpenWS
Lilac MD	Partner
Lilac MS
Lilac MXD	Partner
Lilac WD	Partner
Lilac WS
Costs
Region 4 CLASSIC or LILAC City Open: $40
2nd Event Cost (Classic or Lilac): $10
3rd Event Cost (Classic or Lilac): $10
4th Event Cost (Classic or Lilac): $10
Polo Shirt Small: $12
Polo Shirt Medium: $12
Polo Shirt Large: $12
Polo Shirt X-Large: $12
Polo Shirt XX-Large: $12
T-Shirt Small: $0
T-Shirt Medium: $0
T-Shirt Large: $0
T-Shirt X-Large: $0
T-Shirt XX-Large: $0
USAB Tournament-only Fee (must be current member to play in Classic): $25
USAB Annual Membership Fee (support your badminton association): $30
Dinner Social Adults: $16
Dinner Social Kids 8-years old and younger: $8
Credit Card Surcharge via PayPal: $3
Total Cost $
Comments or Extra Info:
Any photograph taken of me during the event can be used for the promotion of the sport.

Make checks payable to: WSBA
Mail Entry Form and Fees in care of:
Lilac City Classic, c/o Eric Lee, 4215 E. 25th Avenue, Spokane, WA 99223
Entries must be postmarked no later than September 27, 2004, and payment received no later than October 01, 2004.
For more information, contact Eric Lee at 509.534.2047, or e-mail 2004Classic@spokane.northwestbadminton.org.

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