Please print this form.
Make sure you are registered (click here for registration form).

The Bernard Master Junior Satellite Circuit
Presented by the Mid-Ohio Indoor Tennis Association

Send payment to: Michelle Parish, 11485 St. Rt. 739, Marion, Ohio 43302

Enclose a $28 entry fee for each tournament you are signing up for and include your $40 non-refundable registration fee, if not already paid. The entry fee is refundable, but only if you give at least one weeks notice when you cannot play.


I wish to enter the following Tournaments:
(You may enter more than one age group)

Name   _____________________________________________
Home Phone   _____________________________________________
Cell Phone   _____________________________________________
Email   _____________________________________________

DAY

DATE

B or G

AGE GROUP