Tournament Registration 2005
Tournament Manager: Frank Mortimer Cell 509-995-9498
Email: weigel@direcway.com
Website: www.spokanepoloclub.com
Tournament Dates: __________________________________________________________
Tournament Goal Level: _____________________Tournament Fee $150 per player per Tournament
Team Name (
if applicable):_________________________________
Player Name USPA# Handicap Tournament Fee
1.____________________________
___________ ________ $____________
2.____________________________
___________ ________ $____________
3.____________________________
___________ ________ $____________
4.____________________________
___________ ________ $____________
5.____________________________
___________ ________ $____________
6.____________________________
___________ ________ $____________
Number of Stalls requested:
________________ @ $4.00 per head per night = $____________
(Receipt upon request,
make checks payable to
Arrival Date & (approx
time): _______________ Departure
Date (approx time):___________
Mail Tournament Fees to: Reiko Linde, 1314 S Grand Blvd Ste 2, PMB 333
Consideration for early Sunday tournament games will be given to out of town players to allow for travel time if given sufficient notice prior to publishing schedule. The schedule is published on the web at www.spokanepoloclub.com the Wednesday prior to the Tournament. If you have specific needs or requests, please let us know as early as possible, as we are happy to accommodate if given sufficient time. Please be aware that as a tournament player, you will be required to perform additional duties such as Goal Judge, Timer, Score Keeper, and Umpire. There may be USPA students available to cover the additional duties for a negotiable fee if you need or want to pass on your duty. If you need more of these registration forms, they are downloadable from the website at www.spokanepoloclub.com/regform.htm
Team Contact: _____________________________ Phone Numbers: _________________________
Address: __________________________________ City / State /
Zip: _________________________