ENTRIES CLOSE FRIDAY AUGUST 31
NB: All players must have adequate travel and health insurance.
*Junior players will require the signature of a parent or guardian on the form in order to enter a tournament.
** Please note that if we have insuficent numbers in a division we will notify players.
NB: This form does not garutnee entry to doubles. Both payers must sign in in-person as required by the tournament. It is the responsibility of the player to organise a doubles partner.
Transport will be provided from Canberra Airport to tournament hotels and venues on Thursday September 27 from 12pm. Transport will also be provided from the playing venue back to Canberra Airport on Sunday September 30 at the conclusion of play.
NB: If a coach or any ther person is accompanying you, please complete a separate form for each person travelling.
If you do not have details at the time of entry, please send your flight details Jess McMahon – email@example.com no later than FRIDAY 14 SEPTEMBER to ensure pick up is provided.
NOTE: CUT-OFF DATE FOR ACCOMMODATION INCLUSION IS MONDAY 20 AUGUST; PLAYERS WHO ENTER AFTER THIS DATE WILL NEED TO ARRANGE THEIR OWN ACCOMMODATION.
IT IS THE REPOSNIBILITY OF THE PLAYER TO REQUEST INCLUSION INTO ACCOMMODATION ARRANGEMENTS BY INDICATING SO ON THE ENTRY FORM.
Payment may be made EITHER up front with entry fee OR be charged via invoice at a date closer to the tournament.
Check in date: 27 Sept Check out date: 30 Sept
The Offical Tournament Hotel is:
Premier Hotel and Apartments - 110 Benjamin Way, Belconnen ACT 2617
Twin Room - 2 single beds, $135 per person/per night (or $67.50 shared.)
Queen Room - 1 Queen Bed, $135 per person/per night
*These rooms are not classed as accessible, though showers are walk-in and plastic shower chairs will be provided.*There are 2 fully accessible Twin Rooms and 1 fully accessible Queen Room available. Please indicate below if you would prefer one of these rooms. This will be subject to first entries received.
*If you are intending to check in or out on days other than highlighted above, please indicate below.
I give permission for the free use of my name, voice or pictures in any broadcast, telecast, advertising promotion or other account of this event or Wheelchair Sports NSW.
In addition to Wheelchair Sports NSW’s General Code of Behaviour, you must meet the following requirements in regard to your conduct during any activity held or sanctioned by Wheelchair Sports NSW, a member association or an affiliated club and in your role as a player/participant in any activity held by or under the auspices of Wheelchair Sports NSW, a member association or an affiliated club:
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 2018 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 2018. 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.
I am bound by and will comply with the Uniform Tennis Anti-Corruption Program (the “Anti-Corruption Program”), a copy of which is available upon request from the ITF or may be downloaded at http://www.tennisintegrityunit.com. The Anti-Corruption Program will govern my participation in ITF-sanctioned events (alongside the ITF Rules, including the Player Code of Conduct and the ITF Tennis Anti-Doping Programme, each of them applying concurrently and without prejudice to the other). The Tennis Integrity Unit may conduct investigations in relation to ITF-sanctioned events under the Anti-Corruption Programme, and will enforce any penalties, sanctions and/or other measures taken against me under the Anti-Corruption Programme. I hereby submit to the jurisdiction and authority of the ITF to manage, administer and enforce the Anti-Corruption Programme and to the jurisdiction and authority of the Court of Arbitration for Sport to determine any appeals brought under the Anti-Corruption Programme.
I am bound by and will comply with the Tennis Anti-Doping Programme (the “Anti-Doping Programme”), a copy of which is available upon request from the ITF or may be downloaded at http://www.itftennis.com/anti-doping. The Anti-Doping Programme will govern my participation in ITF-sanctioned events (together with the ITF Rules, including the Player Code of Conduct and the Uniform Tennis Anti-Corruption Program, each of them applying concurrently and without prejudice to the other). The ITF may conduct anti-doping testing at ITF-sanctioned events under the Anti-Doping Programme, and will enforce any penalties, sanctions and/or other measures taken against me under the Anti-Doping Programme. I hereby submit to the jurisdiction and authority of the ITF to manage, administer and enforce the Anti-Doping Programme and to the jurisdiction and authority of the Anti-Doping Tribunal and the Court of Arbitration for Sport (“CAS”) to determine any charges brought under the Anti-Doping Programme.
Please select ONE of the payment options below. If you do not require accommodation, or do not wish to pay for accommodation now, please select options 1 or 2 for PayPal or Levy Account.