Mar 24, 2004 20:54
so im havin this tournament. sign it. now.
The Bopfest 2k4 Entry and Release Form
(Last revised: March 25th, 2004)
The following entry and release form has been approved
by the host of the Bopfest for use in entering and competing in the Bopfest.
ENTRY INFORMATION:
TODAY’S DATE______________________________________
TEAM MEMBER ONE’S NAME:_________________________________________
TEAM MEMBER TWO’S NAME:_________________________________________
TEAM MEMBER THREE’S NAME:____ ___________________________________
TEAM MEMBER FOUR’S NAME:________________________________________
TEAM NAME:___________________________________
RESPECTIVE AGES (as of April 17, 2004)____,______,_____,_____
I ACKNOWLEDGE THAT BY SIGNING THIS DOCUMENT, I
AM RELEASING THE HOSTS OF THE BOPFEST, LAWRENCEVILLE, THE ISREAL HOUSE OF LAN,
AND THEIR RESPECTIVE AGENTS, EMPLOYEES, MEMBERS, SPONSORS, PROMOTERS AND AFFILIATES
FROM LIABILITY AND ANY PROPERTY DAMAGE THAT MAY OCCUR.
I HAVE BEEN ADVISED TO READ IT CAREFULLY BEFORE SIGNING.
By signing this document, the participants FULLY ASSUME
THE RISKS ASSOCIATED WITH SUCH PARTICIPATION INCLUDING,
any injuries that may occur at the site of the event, any property damage
that may occur, and any other happenings that occur due to attending the event.
I HEREBY WAIVE, RELEASE, DISCHARGE, HOLD
HARMLESS, AND PROMISE TO INDEMNIFY AND NOT TO SUE
the sponsors of this event, the organizer
and any promoting organizations, property owners, law
enforcement agencies, all public entities, properties, and their
respective agents, officials, and employees
through or by which the events will be held, FROM ANY AND
ALL RIGHTS AND CLAIMS INCLUDING CLAIMS ARISING
FROM THE HOST’S NEGLAGENCE, which I have or
which may hereafter accrue to me and from any and all damages
which may be sustained by me directly or indirectly in connection
with, or arising out of, my participation in or association with the
event, or travel to or return from the event. I agree it is my sole
responsibility to use sportsmanship and good judgment, to follow and
abide by the event’s rules, and any special regulations for the event.
I understand and agree that situations may arise during the event which may be
beyond the control of the event officials or organizers, and I must
continually participate in a fair and rule abiding manner
All of the signers have listed all physical or medical conditions which to my
knowledge would endanger myself or others if I participate in
this event, or would interfere with my ability to participate in this
event, and the hosts will not be liable for any injuries or physical harm that may occur
from conditions not listed.
PLEASE COMPLETE THE FOLLOWING INFORMATION
Please fill out the information for the team member that is the
easiest to contact and most responsible. Please print.
Name______________________________________________
Address_____________________________________Apt #_______
City________________________State_______ZIP____________
Phone_____________________Email_____________________
Emergency Contact ___________________________________
Emergency Contact Phone______________________________
Signature of Entrants (Sign in order as listed in the entry form)
(Team Member One)
_________________________________________
(Team Member Two)
_________________________________________
(Team Member Three)
_________________________________________
(Team Member Four)
_________________________________________
CONSENT AND RELEASE OF PARENT OR GUARDIAN
I am the parent or guardian of the participant(s) I sign for.
I consent to my Child's participation.
I HAVE READ AND I UNDERSTAND THE
ABOVE ENTRY FORM AND RELEASE THE PARTICIPANT I SIGN FOR
I consent to the contract and agree that ITS TERMS
SHALL LIKEWISE BIND ME, MY CHILD, my heirs, legal
representatives, and assignees. I HEREBY RELEASE THE PARTICIPANT I SIGN FOR WHETHER CAUSED BY THE NEGLIGENCE OF
THE HOSTS or others. I PROMISE NOT TO SUE
RELEASEES on my behalf or on behalf of my, the participant, I sign for.
IF A PARTICIPANT IS OVER 18, BY SIGNING ABOVE IN THE ‘SIGNATURE OF ENTRANTS,’ I HEREBY RELEASE AGREE TO THE TERMS OF THIS FORM AND ACT AS MY OWN PARENT/GUARDIAN.
(Team Member One’s Guardian)
_________________________________________Is the signer of the parental/guardian release over 18? Circle: Yes / No
(Team Member Two’s Guardian)
_________________________________________ Is the signer of the parental/guardian release over 18? Circle: Yes / No
(Team Member Three’s Guardian)
_________________________________________ Is the signer of the parental/guardian release over 18? Circle: Yes / No
(Team Member Four’s Guardian)
_________________________________________ Is the signer of the parental/guardian release over 18? Circle: Yes / No