to read before completing this form

be sure to read all information before completing this form
use the "special needs" for your special requests (extra night and others)
Travel : Do not forget to indicate the railway station or airport where you arrive and the train # or flight #

REGISTRATION FORM(*required fields)

your details (*required fields)

S    M    L    XL

Ranking

IPIN and RANKING

Code IPIN : Single : Double :

Draw

I required wild card for main draw /second draw : yes no

I have a feed-up card : yes no, at wich tournament did you win your feed up card ? :

Men single : Main or second draw

Women single : Main or second draw

Junior single: Main draw

Quads single : Main or second draw

Men double : Main or second draw

Women double : Main or second draw

Junior double: Main draw

Quads double : Main or second draw

Preferred Partner :

Accommodation

Hotel rooms booked for the tournament : yes no

Room partner (player) :

Room partner (Compagnon or coach) :

Single room : yes no

I can walk or stand up : yes no

Meals/Diet :

Arrival / Departure

I am : alone accompanied


Arrival :

Arrival day : Time : Train # or flying # :

railway station or airport :


Departure :

Departure Day : Time : Train # or flying # :

railway station or airport :


Entry fee

Entry fee with only meals : (100 €)

Regular entry fee (340€)

Extra charge for Single room (360€)

Compagnion or coach (620€)

ITF Certified coach (410€)


I agree to pay the tournament entry fee the day of my arrival

I want a receipt

Special needs

Rules, code of conduct, anti-doping program and medical(*required fields)

*I hereby agree to abide by the ITF Rules of Tennis, the ITF Rules of Wheelchair Tennis and pay the entry fee as required by the tournament.

*I confirm that I have read and understood Article 24 of the Wheelchair Tennis Rules and Regulations 2012 and further that in accordance with Article 33(k) of the same that I have adequate travel and medical insurance. I further agree to abide by the ITF Code of Conduct in all Main Draw events or by the Code of Conduct adopted by the tournament in any other draws. I also agree for participation in the tournament to be bound by and comply with the all the provisions of the ITF Tennis Anti-Doping Programme 2012. I note that the Tennis Anti-Doping Programme is set out in full on the ITF website (www.itftennis.com) and in a separate rulebook that is published and distributed to all the National Associations and is also available upon application.

*I understand and agree that I have a medically diagnosed permanent physical disability as defined in the Rules of Wheelchair tennis, found at www.itftennis.com/wheelchair/rules/eligibilityrules.asp and that I am eligible to compete in ITF sanctioned wheelchair tennis tournaments. I understand that if requested by the ITF, I am required to supply appropriate medical documentation that substantiates the disability.

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