2010 MMTL Summer Singles Tournament Registration Form

(Note: If you clicked submit or pressed enter prematurely, or there is missing/wrong information you provided, please re-submit the registration form. You will only be charged once for the registration.)

Name
Address
City
Zip Code
Date of Birth	(You must be 19 yrs old to be eligible to play)
E-mail
Contact Phone Number
Current USTA Rating	3.0 3.5 4.0 and above No USTA Rating (If you don't have a current USTA rating, please contact mmtleague@yahoo.com)
Gender	Male Female
Who referred you?

Please indicate the geographical division that you would like to be assigned to (select one):

	EAST (Sterling Heights, Warren, St. Clair Shores, Troy, Rochester, and surrounding areas)
	WEST (Ann Arbor, Ypsilanti, Saline, Canton, and surrounding areas)
	CENTRAL (Southfield, Birmingham, Livonia, Farmington Hills, and surrounding areas)
	TOLEDO (Toledo, Monroe, and surrounding areas)

If you are not sure where you want to be assigned, please e-mail mmtleague@yahoo.com or call one of the MMTL Coordinators listed below.

Registration fee is $25. Please make out check payable to Clifford Obsum. Please put note on the check "MMTL". Payments can be sent to:
 

14143 Riverside St.

Livonia, MI 48154

If you wish to pay via credit card through PayPal, after clicking the "Submit" button at the bottom of this page, please click the PayPal button on the next page (Confirmation page).

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MMTL Player Waiver Form - Please read and if you agree to the terms and condition below, please check the box below, enter your name, and date your agreement date.

WAIVER OF RESPONSIBILITY

MEDICAL RELEASE: I hereby consent to emergency medical and/or hospital service that may be rendered by or at accredited hospitals, by appointed physicians, in the event such need arise in the opinion of the duly licensed physician.

WAIVER AND INDEMNITY AGREEMENT: Acceptance of my entry in these events is without responsibility of any kind by the Midwest Metro Tennis League (MMTL) and any other entity sponsoring the event. I do hereby for and on behalf of myself and my heirs and legal representatives RELEASE and forever discharge the MMTL, its officers and representatives, from any and all claims, demands, and injuries which may be in any way related to my activities during the tournament and any period traveling to or from the events described, and all such claims are hereby WAIVED AND RELEASED, and I agree not to sue therefore.

PUBLICITY RELEASE: I agree to be filmed and photographed by MMTL in connection with such participation and that the MMTL will own any and all rights in such film and photography of me (hereinafter referred to as "Footage"). This will permit the MMTL to proceed with taking such Footage and I now waive, as to the MMTL and its successors, assigns and licensees, all personal right and objections to any use to be made of me, my name, likeness, voice or personality in connection with the use of the Footage in any media for any and all purposes, including trade, advertising and promotional purposes, in perpetuity and without further compensation. I understand that in proceeding with filming and photography of the Footage, the MMTL will do so in full reliance on the foregoing permission

I HAVE READ AND UNDERSTAND THE FOREGOING RELEASE AND INDEMNITY AGREEMENT.

Name:
Date: