Presented by: A Disc's Throw
REGISTRATION FORM
Regular Fee: $90 for masters and $35 for
juniors if received by March 2 to May 31.
Late Fee: $110 for masters and $50 for juniors if received June 1
or later.
Note: If a player arrives to check
in thinking s/he is pre-registered and registration staff has not
received the entry form and check, the player will pay the late
entry fee in order to play. When/if their first check arrives in
the mail late, it will be sent back to the player.
Your entry fee entitles you to participate in any or all of the
events in your division or open as noted (see ground rules). There will also be a Wisconsin Farewell Festival on
Friday, June 27 after the award ceremony for all competitors. You
are welcome to bring non-playing guests to dinner for a fee of
$TBA each. Reservations and payment for guests must be made by
6/15/03.
Name:______________________________________________
Address:______________________________________________________________
City:_____________________ State:____
Zip:__________ Country:____________
Phone: (H)_______________________ (W)______________________ (F)_____________________
Date of birth ______________ PDGA # (if any) _____________
E-mail address:________________________@_________________________________
Occupation or other background (Optional info to be used for media and sponsors) _________________________________________________
__________________________________________________________________________________________________________________
DIVISIONS (based on age and sex as of December 31, 2003 ) Very small divisions may be combined. Check one:
EVENTS
For planning purposes, please check the events that you plan to enter. Players in the SGM and Legend divisions may enter both discathon events if they wish to contend for the Open overall title.
RELEASE
I hereby release The Madison
Area Disc Club, Team Wisconsin, Discovering the World, the
Madison Parks Division, Dane County, UW Madison, and all
individuals, groups, venue hosts and sponsors from any liability
for any loss, injury or illness sustained by myself and/or my
family during my association with the 2003 World Masters Flying
Disc Championships. I further agree to indemnify all of the above
sponsors and associated agencies and hold them harmless from any
losses, or expenses arising from my participation in this event.
Signature_____________________________________ Date____________
(Fee received after 6/1/ 2003
is $110)
This form can be printed out (see printable version) and mailed
to:
Brad Wendt
1218 S. Thompson Drive
Madison, WI 53716
Payment may be by check or money order. Make checks payable to
Brad Wendt.
All pre-event information will be posted on the tournament web
site which can be found at http:// www.dtworld.com