2025 Tasmanian Masters Squash Championships Tournament Entry Form

NAME:*

ADDRESS:*

MOBILE:*

HOME PHONE:

Email:*

EMERGENCY CONTACT:*

EMERGENCY PHONE:*

ASSOCIATION:

CLUB:

GRADE:

NUMBER IN TEAM:

DATE OF BIRTH:* I declare that I shall be 35/or over on 4 July 2025.

Available Friday Night?*

Yes

No

Time Available:

Non Members $40:

80s Music Cover $10/person:

80s Music Cover Total:

TOTAL PAYABLE:

Payment Card:*