2018 Canadian Masters Team Championship
January 12-14, 2018 – Moncton Squash Club – Moncton, NB
Province/Territory/Canadian Armed Forces: ______
Team Submitted By: ______
Contact Information:______
Signature of Endorsement: ______
ENTRY FEE:$1,046.50 ($910.00 + $136.50 HST) per team
ENTRY DEADLINE:Friday, December 15th, 2017 @ 11:59pm EST/9:59pm MST
SCHEDULE OF PLAY –matches will begin Friday, January 12th. Format TBD based on entries.
EVENT INFORMATION – Visit the event website for more information on the weekend including Accommodations, Transportation, Player Packages and Social Events, visit:
TO REGISTER: Please complete this form and submit with payment to Squash Canada by mail, fax or email. Payment can be made by credit Card (Visa or MasterCard) or cheque made out to ‘Squash Canada’.
Please list team members in Playing Order on the registration form. Teams must be submitted in order of strength by gender, and with age group noted. Team orders should correspond to current national rankings, or if not applicable, to provincial or territorial rankings. Team orders that do not correspond to current national rankings must be substantiated by current sanctioned tournament results. Any player without a current national ranking (or P/T ranking) will be designated as NR (non-ranked).
Contact Number
Men’s Designated Player #1
Name
Age & D.O.B | Age Category
Email Address
Club
City
Provincial/Territorial Ranking
National Ranking
Dietary Restrictions/Notes
Men’s Designated Player #2
Name
Age & D.O.B | Age Category
Email Address
Club
City
Provincial/Territorial Ranking
National Ranking
Dietary Restrictions/Notes
Men’s Designated Player #3
Name
Age & D.O.B | Age Category
Email Address
Club
City
Provincial/Territorial Ranking
National Ranking
Dietary Restrictions/Notes
Men’s Designated Player #4
Name
Age & D.O.B | Age Category
Email Address
Club
City
Provincial/Territorial Ranking
National Ranking
Dietary Restrictions/Notes
Women’s Designated Player #1
Name
Age & D.O.B | Age Category
Email Address
Club
City
Provincial/Territorial Ranking
National Ranking
Dietary Restrictions/Notes
Women’s Designated Player #4
Name
Age & D.O.B| Age Category
Email Address
Club
City
Provincial/Territorial Ranking
National Ranking
Dietary Restrictions/Notes
Women’s Designated Player #3
Name
Age & D.O.B | Age Category
Email Address
Club
City
Provincial/Territorial Ranking
National Ranking
Dietary Restrictions/Notes
ENTRY DEADLINE: FRIDAY, DECEMBER 15th, 2017 at 11:59pm EST/9:59pm MST
FORMS SUBMITTED TO:
SQUASH CANADA
20 Jamie Ave., 2nd Floor, Nepean, ON Canada K2E 6T6
P: 613-228-7724 | F: 613-228-7232 | E:
PARTICIPANT ACCEPTANCE OF RISKS AND RELEASE OF LIABILITY:every member of the team is required to go online and submit an electronic acceptance of risks and release of liability form. All team members will be required to submit the form no later than December 31, 2017.
Squash Canada’s Participant Acceptance of Risks and Release of Liability Form: