2009 Junior Grand Prix Tournament Entry Form
Name:			USTA #:
E-Mail:			Birthday:	Age:
Address:			City:	Zip:
Telephone:			Emergency Telephone:
Medical Release: I hereby give my consent for my child to have emergency medical and/or hospital service that may be rendered by or at accredited hospital by appointed physicians in the event such need arise in the opinion of a duly licensed physician.
Parent's Signature:__________________________________
o Boys 10 & Under	o Girls 10 & Under	o June 12-14	Mid-town, Harley & Brighton High Schools
o Boys 12 & Under	o Girls 12 & Under	o June 19-21	Spencerport High School
o Boys 14 & Under	o Girls 14 & Under	o July 10-12	Irondequoit High School (DOUBLES ONLY)
o Boys 16 & Under	o Girls 16 & Under	o July 24-26	Penfield High School/Harris Whalen Park
o Boys 18 & Under	o Girls 18 & Under	o August 7-9	Pittsford Mendon HS/Mendon Racquet
		o August 21-23	Masters (TCR/Mendon Racquet) Invitation Only
Doubles Partner (Irondequoit):____________________        Need a partner  o			Number of Tournaments Entered
Rochester Community Tennis (RCT) is a 501(c)(3) not for profit organization. Your donations in any amount are both tax deductible and certainly appreciated.			Entry Fee Per Tournament	$8.00
			Your Donation to RCT
Make checks payable to Rochester Community Tennis			Total Amount Due
Mail above form and checks to: Rochester Community Tennis Box 128 East Rochester, NY 14445