I agree to comply with the Tournament Conditions and the following LTA Statements - Doping Statement: I consent to participate in doping control procedures if selected, undertaken by an independent sampling officer ( ISO ) appointed by UK Sport. Disciplinary Statement: I acknowledge and agree that I am subject to the Rules and Regulations of the LTA (including, without limitation, the LTA’s Tournament Regulations, Anti-Doping programme, Disciplinary and Dispute Resolution Procedures and the Regulations concerning Match Fixing, Financial Speculation and Betting) and hereby fully and unconditionally Submit to the jurisdiction and authority of the LTA. Media Statement: I consent to being involved in any publicity connected with LTA Staged or approved Tournaments, including media interviews, photographs, TV footage and LTA research projects. Please inform the Tournament Organiser if you do not wish to be involved in such publicity. British Tennis Membership: I consent to the details provided on this entry form to be used to update the membership record of the person identified. Data Usage Statement: I consent to the LTA and/or the Organisers of LTA Tournaments, from my geographical area, using the details provided on the entry form to communicate information about this and future tournaments, in my geographical area, via post/email or SMS. Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Any medical condition(s) of which the Referee should be aware: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tournament Committee: Tournament Director: Clive Richardson Referee: John Cliff Secretary: Sally Revell Groundsman: Daniel Tomberry EAST DORSET LAWN TENNIS & CROQUET CLUB Salterns Road, Poole, Dorset, BH14 8BL OPEN LTA SENIORS DOUBLES TENNIS TOURNAMENT LTA code DOR17S1354 http://bit.ly/DorsetSeniorDubs for online entry ( from 27 th April 2017 ) Monday 12 th - Saturday17 th June 2017 ENTRY FORM Monday 12 th June: 60+ Ladies’ & Men’s Doubles. Tuesday 13 th June: 60+ Mixed Doubles. (Wednesday buffer day if required). Thursday 15 th June: 45+ Ladies’ & Men’s Doubles, 70+ Mixed Doubles. Friday 16 th June: 45+ Mixed Doubles, 70+ Ladies’ & Men’s Doubles. (Saturday buffer day if required) Subject to weather we hope to complete each event in one day. Consolations competitions will be arranged for the first match losers - Please inform the referee if you do not wish to play. Hot and cold lunches and snacks, and drinks from the licensed bar, will be available daily so competitors are requested not to bring their own food.. Please send entry forms and cheques to: The Tournament Director, Clive Richardson East Dorset Lawn Tennis & Croquet Club, Salterns Road, Poole, BH14 8BL Before the closing date of 29 th May 2017, 8am
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OPEN LTA SENIORS DOUBLES TENNIS TOURNAMENT … · 10. ITF-approved tennis balls will be used for the Tournament on the Club’s grass courts. In the event of delays caused by bad
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I agree to comply with the Tournament Conditions and the following LTA
Statements -
Doping Statement: I consent to participate in doping control procedures if
selected, undertaken by an independent sampling officer ( ISO ) appointed
by UK Sport.
Disciplinary Statement: I acknowledge and agree that I am subject to the
Rules and Regulations of the LTA (including, without limitation, the LTA’s
Tournament Regulations, Anti-Doping programme, Disciplinary and Dispute
Resolution Procedures and the Regulations concerning Match Fixing,
Financial Speculation and Betting) and hereby fully and unconditionally
Submit to the jurisdiction and authority of the LTA.
Media Statement: I consent to being involved in any publicity connected
with LTA Staged or approved Tournaments, including media interviews,
photographs, TV footage and LTA research projects. Please inform the
Tournament Organiser if you do not wish to be involved in such publicity.
British Tennis Membership: I consent to the details provided on this entry
form to be used to update the membership record of the person identified.
Data Usage Statement: I consent to the LTA and/or the Organisers of LTA
Tournaments, from my geographical area, using the details provided on the
entry form to communicate information about this and future tournaments, in