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:

Open Master (35 and over) Women’s Master (35-and over)Open Grandmaster (45-and over)

Women’s Grandmaster (45 and over)Senior Grandmaster (55 and over)Legend (65 and over)

Jr. Boys (under 19) Jr. Girls (< 19)Jr. Boys (< 16) Jr. Girls (< 16) Jr. Boys (< 12) Jr. Girls (< 12)


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.

Distance DDC Freestyle Open (Running) Discathon Controlled Pace Discathon (L, SGM, WSGM)

Golf Accuracy SCF (MTA and TRC)


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