Williamstown One-Wall Tournament
May 24th – 26th 2013
Williamstown Co. Galway
Official Entry Form
Eligibility:
- Masters players must meet age requirements in 2013
- U11/u12/u14/16/18 must meet the age requirement by 31/12/2013. ie. Same grade as Championships in 2013.
- For Men’s B, C & Ladies B competitions: players can enter the respective grade if they have not won the same competition or a higher level competition in the One-Wall Nationals prior to 2013.
- The men’s Challenger and Ladies Challenger Grades are for players who have never won a Provincial Adult title in any code.
- Entries are confined to 1 entry per player and must be signed by the player or a parent /guardian for a player under 18 years of age.
- Please note that the Novice competitions are for beginners and this will be strictly adhered to.
- GOGGLES MUST BE WORN IN ALL GRADES – NO EXCEPTIONS
Entry Deadline:
Entries and fees should be in the possession of Williamstown Handball Club by Wednesday May15th 2013 and should be sent to: Pat Conway, Tournament Director,
Williamstown Handball Club, Polredmond,Williamstown, Co. Galway.
NO ENTRIES WILL BE ACCEPTED AFTER THE ABOVE DATE.
ENTRY FEES MUST BE ENCLOSED WITH THIS FORM
Tick the relevant box below and include the respective entry fee
20 euro for all adult events [ ]
15 euro for students in adult events [ ]
10 euro for u-11/12/14/16/18 events [ ]
I wish to purchase a tournament t-shirt 10EURO [ ]
Total Fee Enclosed with Entry Form ______euro
*** SHIRT SIZE: AGE 11/12 AGE 13/14 S M L XL XXL
Personal Information:
NAME:…………………………………………..DATE OF BIRTH:…………………AGE:………
ADDRESS:……………………………………………………………………………………………
COUNTY:……………………………………EMAIL………………………………………………..
PHONE NO:…………………………………HANDBALL CLUB………………………………….
Declaration and Waiver Release: I declare that I have consulted with my club secretary and verify that I am a registered member of my club, that my name is included in the list of Club registrations forwarded to the Irish Handball Council and my club has paid it’s contribution to the Player Injury Scheme for the year end 31-01-14. In consideration of the acceptance of this entry, I, the undersigned participant, intending to be legally bound, do hereby, for myself, my heirs, successors, assigns, executors and administrators, waive and release any and all rights and/or claims and damages against Williamstown Handball Club and any host clubs, their officers, directors, representatives, employees and agents in connection with my entry in the above tournament and I assume all risks by my participation.
Parent’s signature if player is under 18______
Player’s signature:______
I wish to enter in the event indicated below (Please tick the appropriate grade):
Boys Girls Men’s Ladies Masters
1. ( ) Under 11 6( ) Under 11 11( ) Men’s Open 14 ( ) Ladies Open 17 ( ) Masters
2. ( ) Under 12 7( ) Under 12 12( ) Man’s B 15 ( ) Ladies B 18( ) Golden
3. ( ) Under 14 8 ( ) Under 14 13( ) Men’s C 16 ) Ladies Challenger 19( ) Diamond
4. ( ) Under 16 9 ( ) Under 16 14( ) Men’s Challenger 20 ( ) Ruby
5. ( ) Under 18 10( ) Under 18