2023 USATT Midwest Championships - Sanctioned 4-Star Table Tennis Tournament with $2,750 in Cash Prizes! May 19-21, 2023
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2023 USATT Midwest Championships
Qualification Event for US Nationals
Entry Form
Sanctioned 4-Star Table Tennis Tournament with $2,750 in Cash Prizes!
May 19-21, 2023
Venue - Spin & Smash Table Tennis & Ping Pong Center, 9525 OH-161, Plain City, Ohio 43064 (New Location)
Staff - Tournament Director Gloria Price. Dave Fullen, CR/CU is the Certified Referee.
Professional facility - 32’ ceiling, Table Tennis flooring, white Ni�aku Premium balls sponsored by Paddle Palace, Buterfly Europa tables
Format - Round robin events with 4 or more players per group with 2 advancing from each group to single eliminaton (SE). All matches best 3 out of 5. We reserve the right to
change formats as necessary.
Rules - All USATT regulations apply; only USATT approved equipment; USATT dress code will be enforced - no white clothing. Players cannot enter 2 events with the same
starting tme. The top finisher in each event will receive free admission to that event at USATT Natonals.
Teams Event - USATT Clubs from following states are allowed to enter teams in Midwest Region: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska,
North Dakota, Ohio, South Dakota, and Wisconsin. All Teams will submit Roster through email. Only Club admins are allowed to submit rosters. See page 4 for entry form.
I understand USATT’s Safe Sport Policy including the organization’s Coaching Policy, which requires that all persons who are engaged in coaching actvities at USATT
Affiliated Member Clubs and/or USATT Sanctioned Tournaments, except parents or legal guardians coaching their own children,
must be fully Safe Sport Compliant, which includes completing SafeSport Training offered by the US Center for SafeSport every year and undergoing a criminal background
screen every two years.
I understand that, pursuant to USATT’s Minor Athlete Abuse Prevention Policy, all participants at USATT Sanctioned Tournaments who are over the age of 18 and have
regular contact with or authority over minor athletes must complete annual SafeSport Training offered by the US Center for
SafeSport. More information on USATT’s Safe Sport Policy is available at: https://www.teamusa.org/usa-table-tennis/athlete-safety/safe-sport
Payments - Withdrawals through Monday, May 15 will receive a refund. No refunds after May 15. All payments must be received by midnight May 15. Unpaid entries may be
deleted May 16. Late entries may be accepted until May 17 with a $5 late fee based on availability. No phone entries. All entries must be paid prior to participation.
Food/Hotel - The playing venue is near several fast food and other restaurants; Fairfield Inn & Suites, Courtyard by Marriott in Dublin and many other options.
Ratings - Ratings from May 1 will be used for eligibility. Updated ratings will be used for seeding. Tournament staff may modify, combine, cancel events and limit total
entrants.
Sponsors - Butterfly, create.produce:media, LLC; Paddle Palace and Spin & Smash Table Tennis & Ping Pong Center.
Name__________________________________ Address________________________________
E-mail__________________________________ Phone__________________________________
Rating__________________________________ Membership#_______ Exp Date_____________
If paying by check, make payable
Please enter me in the circled events. I agree to comply Please circle entered events:
to SSTTPPC. Mail entry to:
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
& Ping Pong Center, Dave Fullen, other staff, sponsors and USATT of any 17 18 19 20 21 22 23 24 25 26 27 Spin & Smash TTPPC
Event Fees_________________ 9525 OH-161
image, photographic or otherwise, taken of tournament play or within the
Admin Fee ________________$7 Plain City, OH 43064
Club. Entrants agree to allow their voice and likeness in such images to be T-Shirts ___________________$35
Total______________________
All entries must be paid in full prior to participation.
Signature_____________________ Date_________
USATT Midwest Regional Qualifier
Sanctioned 4-Star Table Tennis Tournament with $3,050 in Cash Prizes!
Friday, Saturday, Sunday May 19 - 21, 2023
Friday, May 19 Time Entry Fee Awards
1. Legend 65 & Over Singles 9am $25 $50, medals 1st, 2nd, 3rd
2. U19 Boys Singles 9am $25 Medals, 1st, 2nd, 3rd
3. U19 Girls Singles 9am $25 Medals, 1st, 2nd, 3rd
4. Senior 70 & Over Singles 11am $25 $50, medals 1st, 2nd, 3rd
5. Senior 75 & Over Singles 1pm $25 $50, medals 1st, 2nd, 3rd
6. U15 Boys Singles 1pm $25 Medals, 1st, 2nd, 3rd
7. U15 Girls Singles 1pm $25 Medals, 1st, 2nd, 3rd
8. 65 & Over Doubles 3pm $15/player $100/team $50/team, medals
9. 65 & Over Mixed Dbls 5pm $15/player $100/team $50/team, medals
10. U11 Boys Singles 5pm $25 Medals, 1st, 2nd, 3rd
11. U11 Girls Singles 5pm $25 Medals, 1st, 2nd, 3rd
12. Vet 40 & Over Singles 7pm $25 $50, medals 1st, 2nd, 3rd
13. U-2000 7pm $25 $50, medals 1st, 2nd, 3rd
14. U-1200 7pm $25 $50, medals 1st, 2nd, 3rd
Saturday, May 20
15. Open Singles 9am $25 $250, medals 1st, 2nd, 3rd
16. 50+ Singles 9am $25 $50, medals 1st, 2nd, 3rd
17. U-1400 9am $25 $50, medals 1st, 2nd, 3rd
18. Open Doubles 1pm $25 $15/player $100/team $50/team, medals
19. 60+ Singles 1pm $25 $50, medals 1st, 2nd, 3rd
20. U-13 Boys' Singles 1pm $25 Medals 1st, 2nd, 3rd
21. U-13 Girls' Singles 1pm $25 Medals 1st, 2nd, 3rd
22. Sandpaper Open 1pm $25 $50, medals 1st, 2nd, 3rd
23. U-1600 5pm $25 $50, medals 1st, 2nd, 3rd
24. U-2300 5pm $25 $50, medals 1st, 2nd, 3rd
25. U-1000 5pm $25 $50, medals 1st, 2nd, 3rd
26. Wasserman Hardbat 7pm $25 $50, medals 1st, 2nd, 3rd
27. U3100 Doubles 7pm $15/player $100/team $50/team, medals
Sunday, May 21
28. USATT Club Teams Event 9am $150/team $500, $300, 200/Team A & 1st-3rd medals
Div B 1st-3rd medals
29. U-800 Singles 9am $25 $50, $50, medals 1st, 2nd, 3rd
30. U-1900 Singles 9am $25 $50, $50, medals 1st, 2nd, 3rd
31. U-1300 Singles 9am $25 $50, $50, medals 1st, 2nd, 3rd
32. U-2100 Singles 1pm $25 $50, $50, medals 1st, 2nd, 3rd
33. U-1500 Singles 1pm $25 $50, $50, medals 1st, 2nd, 3rd
34. U-1100 Singles 1pm $25 $50, $50, medals 1st, 2nd, 3rd
3-5 players per team. They must represent a club team in the midwest region. Submit complete roster to Spin & Smash TTC: dave@play3tc.com and cc: vlad.farcas@usatt.org
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