2017 U14 Eastern Championships All information subject to change

Size: px
Start display at page:

Download "2017 U14 Eastern Championships All information subject to change"

Transcription

1 LOCATION: Sunday River, Maine For directions go to web address SCHEDULE: Registration March 15, PM-6:30PM at Grand Summit Hotel- Simmonds 7PM Team Captains Meeting at Gould Academy Competition Center Super G March 16, AM-8AM Registration at Barker Lodge 9:30am Training Run 1:00pm Race 4:30PM Team Captains Meeting at Gould Academy Competition Center Slalom March 17, AM-8AM Registration at Barker Lodge 10:00AM Race 4:30PM Team Captains Meeting at Gould Academy Competition Center Skills Quest March 18, 2017, 8:30AM 4:30PM Team Captains Meeting at Gould Academy Competition Center 6PM Banquet and Awards at Grand Summit Hotel Ball Room Giant Slalom March 19, AM-8AM Registration at Barker Lodge 10:00AM Race COURSE: Skills Quest SG SL GS Various Terrain T2/Monday Mourning Monday Mourning T2/Monday Mourning Slalom Skis 350m 140m 250m Entry Fee- $240 includes credential and athlete banquet Entry Deadline and Procedure: Please complete and mail or fax the necessary forms. Forms must be received by March 14th. Payment must be made on Adminskiracing.com Send info to: Greg Towle - Sunday River Competition Office PO Box 4500 Newry, ME Fax gtowle@sundayriver.com Entry Forms Required: 1) Athlete Registration Form 2)Liability Release 3) Athlete Banquet form Forms will also be available on adminskiracing.com Athlete Registration: Thursday March 17 th from 4pm 6pm at Grand Summit Hotel, Ketchum/Riley Room- All athletes must be present to get their credentials for the event FOR MORE INFO: Greg Towle gtowle@sundayriver.com (fax) PO Box Barker Mtn. Road Newry, ME 04261

2 COACHES TICKETS: Additional coaches - $50/daily - All athletes are entitled to representation by a coach from their home program. If a program would like to have two coaches they must have more than 4 athletes, more than 8 athletes for 3, more than 12 for four, etc. Programs must their list of coaches to Greg Towle no later than March 12, If I do not receive an official list with your coach s names on it, they will pay the above fee for a ticket. PARENT TICKETS: Available daily at Registration - $55 REGISTRATION: March 15 4:00pm to 6:00 pm Grand Summit Hotel, Ketchum/Riley March 16 7:00 am to 9:00am Barker Lodge TEAM CAPTAINS March 15 7:00 pm Gould Academy Competition Center MEETING: March 16 4:30 pm Gould Academy Competition Center March 17 4:30 pm Gould Academy Competition Center March 18 4:30 pm Gould Academy Competition Center AWARDS: ATHLETE BANQUET: Top 10 male and female for each race. Top 10 male and female overall for series. Sunday March 18 th at 6:00 PM at Grand Ballroom, Grand Summit Hotel Athletes do not need to purchase a ticket for this event. Each athlete is permitted to purchase one additional ticket for a guest to attend. Additional tickets may be available at registration. The additional ticket can be purchased by clicking here. Lodging: There are many lodging options available by calling or visiting the Sunday River website at Training: Training will be provided by Gould Academy Competition Program. Please sign up here. Volunteers: If you would like to volunteer to help with any of the events. Please contact Meryl Kelly at meryl.kelly@sundayriver.com. You can also sign up by clicking here. Volunteers are always needed for these events so please do not hesitate to contact us.

3 REGISTRATION FORM ATHLETE LAST NAME: ATHLETE FIRST NAME: USSA# YEAR OF BIRTH ATHLETES SKI TEAM STATE ATHLETE MAILING ADDRESS: CITY: STATE: ZIP: PARENT CELL PHONE: PARENT CONTACT: EMERGENCY CONTACT: EMERGENCY PHONE: ATHLETES COACH: Payment must be made online at ANNOUNCER INFORMATION FAVORITE SKI AREA: FAVORITE PROFESSIONAL ATHLETE: FAVORITE BRAND OF SKIS: WHAT DO YOU WANT TO BE WHEN YOU GROW UP?: WHO DO YOU WANT TO GIVE A SHOUT OUT TO?:

4 2017 Eastern U14 Championships Athlete Banquet Ticket Order Form Saturday, March 18, 2017 Competitor Name: (please print first and last name) I would like to purchase an additional ticket at $25.00 per ticket yes no Additional tickets should be purchased on adminskiing.com I understand that if additional tickets are available, I can purchase them at registration.

5 SUNDAY RIVER SKIWAY CORPORATION (Competition and Events Release) ACKNOWLEDGEMENT, ASSUMPTION OF RISKS AND RELEASE OF LIABILITY (Please Read Carefully Before Signing) APPLICATION I acknowledge this agreement applies to my participation in Sunday River Competition and Events in one of more of the following disciplines: (1) Freestyle; (2) Snowboarding; and/or (3) Racing during the ski season (hereinafter, the Activity ), including but not limited to one or more of the following dates: December 4, 2016, December 9-12, 2016, December 17, 2016, December 18-21, 2016, January 7-8, 2017, January 14-15, 2017, January 26-29, 2017, February 4-5, 2017, February 10-12, 2017, February 13-17, 2017, February 18-19, 2017, February 24-26, 2017, March 4-5, 2017, March 11-12, 2017, March 14-19, 2017, March 23-26, 2017, April 1-6, ACKNOWLEDGEMENT AND ASSUMPTION OF RISKS I acknowledge that participation in the Activity includes skiing, riding, other snow sports and the use of passenger tramways associated therewith which subject skiers and riders to risks and hazards regardless of all feasible safety measures that may be taken. I understand that participation in the Activity involves inherent risks of skiing encompassing dangers and conditions that are an integral part of the sport, as well as other known and unknown risks including, but not limited to, changing weather and surface conditions, falls resulting from manmade and natural objects, design and condition of natural and man-made elements, severe terrain changes and collisions with other participants, spectators, vehicles and natural and man-made objects. I acknowledge that while participating in the Activity I am a competitor whether I am practicing, training or engaged in competition. I acknowledge that I have been advised to visually inspect the course, venue or area where the Activity is to occur. I accept all risk of course, venue or area conditions including, but not limited to, weather and snow conditions, obstacles, course or feature location, course construction, design and layout, freestyle terrain configuration or condition, any other courses, layout or configurations of area to be used, collision with other competitors or natural or man-made objects and any other condition which a visual inspection should reveal. I AGREE FREELY AND VOLUNTARILY TO ASSUME ALL RISKS, including the risk of physical injury, death and/or damage to person(s) and/or property related to my participation in the Activity and associated use of the Sunday River ski area. RELEASE, INDEMNITY AND HOLD HARMLESS AGREEMENT I agree for myself, my heirs and for anyone on my behalf, to the fullest extent allowed by law, to RELEASE, INDEMNIFY AND HOLD HARMLESS Sunday River Skiway Corporation, CLP Sunday River, LLC, and Boyne USA, Inc. (hereinafter collectively referred to as Sunday River ), including their owners, directors, officers, real and personal property owners, shareholders, employees, volunteers, agents, representatives, affiliates, successors and assigns (hereinafter collectively referred to as Releasees ) from any and all responsibility or legal liability for any property damage, personal injury, damage or death which may result directly or indirectly from participation in the Activity, whether or not such injury or damage was foreseeable, or any other cause or claim arising from participation in the Activity under any legal theory, including ANY CLAIMS BASED ON ALLEGED NEGLIGENCE OF RELEASEES. PROMISE NOT TO SUE I PROMISE TO NOT SUE, and agree to INDEMNIFY, HOLD HARMLESS AND DEFEND Releasees for any claim of injury, damage or death which may result from my participating in the Activity, including any claims based on alleged NEGLIGENCE of Releasees. Should any claim or action be asserted in contravention to this agreement, I or my successor shall be liable for all expenses, INCLUDING LEGAL FEES incurred by Releasees, and that if a claim or action is brought, it shall be submitted to the jurisdiction of the State or Federal Court in the State of Maine, and no other jurisdiction, and shall be governed by the laws of the State of Maine. PHOTOGRAPHY & VIDEO RELEASE

6 In consideration of my participation in the Activity, I hereby authorize and give full consent to Releasees to copyright or publish all photographs and video in which I appear while enrolled as a participant in the Activity. I further agree that this/these photograph(s) and/or video(s) maybe used for any and all exhibitions, public displays, publications, commercials, art and advertising purposes, without limitation or reservations. I have carefully read and understand this agreement is a COMPREHENSIVE RELEASE OF ALL LIABILITY which is binding upon me, my heirs, agents and assigns, that is not intended to assert any claims or defenses that are prohibited by law, and that if any part of this agreement is held to be invalid or unenforceable, the remainder shall be given the full force and effect. This agreement is in addition to, and not in lieu of, any liability waiver or release granted pursuant to a lift ticket, season pass and/or equipment rental agreement. PARENT/GUARDIAN AUTHORIZATION As a parent/guardian with legal responsibility for the minor participating in the Activity, on behalf of whom this agreement is entered, I verify that I have the authority to enter this agreement on behalf of the minor participant. I have read, understood and agree that the minor or anyone on behalf of the minor participant, including me, is bound by the terms of this agreement. Furthermore, if a claim or action is brought in contravention of this agreement, including any claim alleging NEGLIGENCE, I agree to INDEMNIFY, HOLD HARMLESS AND DEFEND Releasees for any and all expenses incurred, INCLUDING LEGAL FEES, and any DAMAGES for which they may be adjudged legally liable to pay. COMPETITOR PRINTED NAME: COMPETITOR SIGNATURE: DATE ADDRESS: CITY: STATE: ZIP CODE: HOME PHONE: DATE OF BIRTH: GENDER: M F (CIRCLE ONE) DATE: Signature of Parent/Guardian if competitor is under 18 years old Printed Name of Parent/Guardian

Diana Golden Race Maine Adaptive Sports & Recreation Sunday River, ME January 15, Race Schedule

Diana Golden Race Maine Adaptive Sports & Recreation Sunday River, ME January 15, Race Schedule Diana Golden Race Maine Adaptive Sports & Recreation Sunday River, ME January 15, 2018 Race Schedule Location 8:00 8:45 Race Registration Maine Adaptive 8 Sundance Ln, Newry 9:00-9:45 Course Inspection

More information

TEAM ONALYSIS Hosts A USATF Sanctioned Cross Country Meet at Golden Gate Park, Polo Fields in San Francisco Sunday, October 28, 2018

TEAM ONALYSIS Hosts A USATF Sanctioned Cross Country Meet at Golden Gate Park, Polo Fields in San Francisco Sunday, October 28, 2018 TEAM ONALYSIS Hosts A USATF Sanctioned Cross Country Meet at Golden Gate Park, Polo Fields in San Francisco Sunday, October 28, 2018 Schedule: 8:00 am 9:00 am Registration 9:00 am Course Walk 10:00 am

More information

Instructions for Completing Waivers

Instructions for Completing Waivers Instructions for Completing Waivers 1) Print out all four (4) forms attached. 2) All 4 forms must be filled in COMPLETELY. If forms are not completed and signed properly your minor child will not be allowed

More information

RELEASE AND WAIVER OF LIABILITY Sports Authority Football Field Day

RELEASE AND WAIVER OF LIABILITY Sports Authority Football Field Day ATTENTION: Please print all waivers and bring signed and completed waivers to the event. Individuals without signed waivers will not be able to participate in event. RELEASE AND WAIVER OF LIABILITY Sports

More information

Oklahoma City University Travel Waiver and Release Agreement

Oklahoma City University Travel Waiver and Release Agreement Oklahoma City University Travel Waiver and Release Agreement Introduction: Oklahoma City University allows employees and students to participate in activities that may involve or require travel outside

More information

DungeonofPrideClothing.com. Bench Only & Full Power (All Men s Open lifters):

DungeonofPrideClothing.com. Bench Only & Full Power (All Men s Open lifters): 2017 UPA Powerlifting & Bench Press National Championship April 22 nd & 23 rd, 2017 XPC Arnold Classic Qualifier & GPC Worlds Qualifier Updated on 8/7/2016 MEET DIRECTOR: Bill Carpenter - President - 563-599-1390

More information

Jack Frost Skiing. February 21, 2016

Jack Frost Skiing. February 21, 2016 Jack Frost Skiing February 21, 2016 Summary: We will travel by deluxe motor coach to Jack Frost / Big Boulder Ski Resort for a day of skiing and snowboarding. We re getting a Scout Day group rate, which

More information

1 P a g e. Registration. Registered Name of Horse. Pet Name & Age of Horse. Coat Color/Mare or Gelding. Sire and Dam. Name of Horse Owner

1 P a g e. Registration. Registered Name of Horse. Pet Name & Age of Horse. Coat Color/Mare or Gelding. Sire and Dam. Name of Horse Owner Santa Elena Foundation / Carolina Marsh Tacky Association 2017 Lowcountry Fair with Historical Flair Registration November 18, 2017 Cotton Hall Plantation, Northern Beaufort, SC Two events are available

More information

WINTER CARNIVAL 2018, March 3 CARDBOARD CLASSIC Theme: SUPERHEROES

WINTER CARNIVAL 2018, March 3 CARDBOARD CLASSIC Theme: SUPERHEROES WINTER CARNIVAL 2018, March 3 CARDBOARD CLASSIC Theme: SUPERHEROES Nearly $1000 dollars in cash and prizes! Please read all rules carefully. They will be strictly enforced. The safety of all participants,

More information

Cranston Parks & Recreation Playground Program

Cranston Parks & Recreation Playground Program Cranston Parks & Recreation Playground Program Please print clearly! *FOR OFFICE USE ONLY* School & Age Check # Birth Certificate Proof of Residency Health Insurance Child s Name Age Address City Zip Code

More information

LOUISVILLE METRO POLICE DEPARTMENT YOUTH CITIZENS POLICE ACADEMY

LOUISVILLE METRO POLICE DEPARTMENT YOUTH CITIZENS POLICE ACADEMY LOUISVILLE METRO POLICE DEPARTMENT YOUTH CITIZENS POLICE ACADEMY The Youth Citizens Police Academy is designed to expose young adults, ages 14 17 to the requirements, culture, and rewards of a career in

More information

Tallcedarsfarm.org Rocky Ridge Road Glen Allen VA 23059

Tallcedarsfarm.org Rocky Ridge Road Glen Allen VA 23059 20 Tallcedarsfarm.org 11353 Rocky Ridge Road Glen Allen VA 23059 Rider s Name Age Date of Birth Male or Female Weight Height Date of Most Recent Physical Examination Riding Experience Style of Riding Parents

More information

2018 UPA Illinois State & Midwest Powerlifting Championships September 22, 2018

2018 UPA Illinois State & Midwest Powerlifting Championships September 22, 2018 2018 UPA Illinois State & Midwest Powerlifting Championships September 22, 2018 MEET DIRECTORS: Bill Carpenter -UPA President E-mail: Bcarpenter@UPAPower.com Byron Hicks UPA Illinois State Chairman E-mail:

More information

OWNER'S NAME HORSES NAME MAILING ADDRESS PROVINCE POSTAL CODE PHONE NUMBER ARE YOU AN NSEF PROV CHAMP ENTRY CIRCLE YES OR NO

OWNER'S NAME HORSES NAME MAILING ADDRESS PROVINCE POSTAL CODE PHONE NUMBER  ARE YOU AN NSEF PROV CHAMP ENTRY CIRCLE YES OR NO 2018 HANTS COUNTY EXHIBITION -- LIGHT HORSE ENTRY FORM - A SEPARATE ENTRY FORM IS TO BE USED FOREACH HORSE/PONY ENTERED MAIL ENTRIES TO: HANTS COUNTY EXHIBITION, P.O. BOX 368, WINDSOR, N.S. OR FAX 902-798-2999

More information

2017 Multi-Jurisdictional Law Enforcement Explorer Academy

2017 Multi-Jurisdictional Law Enforcement Explorer Academy 2017 Multi-Jurisdictional Law Enforcement Explorer Academy All questions must be answered. If something does not apply please indicate N/A. Note: If there are any un-answered questions on this application

More information

PARENT AGREEMENT FOR USE OF THIRD-PARTY TRANSPORTATION SERVICE. Rules and Guidelines

PARENT AGREEMENT FOR USE OF THIRD-PARTY TRANSPORTATION SERVICE. Rules and Guidelines PARENT AGREEMENT FOR USE OF THIRD-PARTY TRANSPORTATION SERVICE Yeshiva Elementary, Inc. has arranged with a third-party vendor to provide bus transportation for students to and from Yeshiva Elementary

More information

2018 Jr. Celtics Two-day Winter Break Clinic Registration Form

2018 Jr. Celtics Two-day Winter Break Clinic Registration Form 2018 Jr. Celtics Two-day Winter Break Clinic Registration Form For more information call 617-399-8432 or email Sam at: jrceltics@celtics.com When: Thursday, December 27, 2018 Friday, December 28, 2018

More information

Youth Police Academy C/O: Clare Police Department 207 W. Fifth Street Clare, MI (989) Membership Application 2017

Youth Police Academy C/O: Clare Police Department 207 W. Fifth Street Clare, MI (989) Membership Application 2017 Youth Police Academy C/O: Clare Police Department Membership Application 2017 07-10-2017 07-20-2017 Monday - Thursday for 2 weeks 8am - 4pm $15 Non Refundable Application Fee Required (Cash Preferred -

More information

Annual Cotillion Program

Annual Cotillion Program Annual Cotillion Program 2015-2016 Application Packet DELTA SIGMA THETA SORORITY, INC. COLLIN COUNTY ALUMNAE CHAPTER COTILLION OVERVIEW Cotillion Since the organization's founding, Delta Sigma Theta Sorority,

More information

ASSUMPTION OF RISK, RELEASE AND LIABILITY WAIVER

ASSUMPTION OF RISK, RELEASE AND LIABILITY WAIVER ASSUMPTION OF RISK, RELEASE AND LIABILITY WAIVER This Event may involve serious risk of injury. I understand that by signing this form, I am giving up the right to sue if I am injured while participating

More information

Registration Form. Our Lady of Guadalupe High School Retreat. February 23 25, 2018 Camp Zephyr, Sandia, TX Cost: $140.00

Registration Form. Our Lady of Guadalupe High School Retreat. February 23 25, 2018 Camp Zephyr, Sandia, TX Cost: $140.00 Registration Form Our Lady of Guadalupe High School Retreat February 23 25, 2018 Camp Zephyr, Sandia, TX Cost: $140.00 For Office Use Only Paid: YES NO Cash Check ($140.00 covers roundtrip bus transportation

More information

RELEASE, WAIVER, HOLD HARMLESS, AND INDEMNIFICATION AGREEMENT

RELEASE, WAIVER, HOLD HARMLESS, AND INDEMNIFICATION AGREEMENT RELEASE, WAIVER, HOLD HARMLESS, AND INDEMNIFICATION AGREEMENT Name: Address: Phone: ( ) Email: EMERGENCY CONTACT Name: Phone: ( ) Email: WARNING Under North Carolina law, an equine activity sponsor or

More information

Chamber Bed Race Rules

Chamber Bed Race Rules Chamber Bed Race Rules We know you hate it but we have to have them! Bed Design Beds must measure at least 3 feet wide by 6 feet long, but no more than 6 feet wide by 8 feet long handles included. (This

More information

69 th Annual Michigan-Wisconsin Tennis Open

69 th Annual Michigan-Wisconsin Tennis Open 69 th Annual Michigan-Wisconsin Tennis Open August 6 & 7, 2016 FEES: Singles is $18 and doubles is $22 per team (includes t-shirt). Checks should be made payable to Esky Tennis. Entry forms should be mailed

More information

Membership Application

Membership Application Membership Application Applicant: Name of Spouse: Home Address: Email: Business: Address: Sponsored By: Additional Reference: Applicant Signature: _ Date of Birth: Date of Birth: Home Tel: Home Fax: Cell

More information

~LOTUS GUNWORKS OF SOUTH FLORIDA, LLC~ RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT

~LOTUS GUNWORKS OF SOUTH FLORIDA, LLC~ RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT ~LOTUS GUNWORKS OF SOUTH FLORIDA, LLC~ RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT WHEREAS, in return for being allowed to enter Lotus Gunworks, Lotus Gun Range

More information

Champion Cheer All-Stars Inc., Falls City, Nebraska Waiver of Liability, Release, Indemnity, and Assumption of Risk Agreement Name of participant: In

Champion Cheer All-Stars Inc., Falls City, Nebraska Waiver of Liability, Release, Indemnity, and Assumption of Risk Agreement Name of participant: In Champion Cheer All-Stars Inc., Falls City, Nebraska Waiver of Liability, Release, Indemnity, and Assumption of Risk Agreement Name of participant: In consideration of the services of Champion Cheer All-Stars

More information

Minor Waiver (Paper and Electronic) HFAC Water Activities Version 5/14

Minor Waiver (Paper and Electronic) HFAC Water Activities Version 5/14 MINORS UNDER THE AGE OF 18 RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT FOR HARPERS FERRY ADVENTURE CENTER INC WATER ACTIVITIES *Only the Parent or Court-Appointed Legal

More information

Rider #1 Name Civic P.O. Province Postal Code Phone

Rider #1 Name Civic P.O. Province Postal Code Phone Horse s Name Horse License # Passport Number Performance Hunter 3 3.3 Pre Green Year 1 st. 2 nd. Green Year 1 st. 2 nd, RING # Owner Name Rider #1 Name Rider #2 Name Owner EC # AO or JR Rider 1 EC # AO

More information

Student Name: Student Phone: Birthday: \ \ Physical Address: Mailing Address: Primary Parent/Guardian:

Student Name: Student Phone: Birthday: \ \  Physical Address: Mailing Address: Primary Parent/Guardian: Z.O.O. Crew Registration Form Registration Deadline: Friday, January 25 th, 2019; Z.O.O. Crew Start Date: Monday, February 4 th, 2019 Limit 30 participants per semester; registrations are first come, first

More information

Southeast Schooling Show Championships Chattahoochee Hills October 7 th and 8 th

Southeast Schooling Show Championships Chattahoochee Hills October 7 th and 8 th Opening Date: August 15, 2017 Closing Date: September 18th, 2017 Southeast Schooling Show Championships Chattahoochee Hills October 7 th and 8 th Show: 10045 Cedar Grove Road, Chattahoochee Hills, GA 30213

More information

EQUESTRIAN CONNECTION ELEMENTARY/JUNIOR HIGH SOCIAL EVENT

EQUESTRIAN CONNECTION ELEMENTARY/JUNIOR HIGH SOCIAL EVENT EQUESTRIAN CONNECTION ELEMENTARY/JUNIOR HIGH SOCIAL EVENT Join us for horseback riding, grooming, art activities and games, and a pizza dinner! Friday, May 19, 2017 3:00 p.m. 6:45 p.m. Students will take

More information

EXEMPTION AND RELEASE FROM LIABILITY

EXEMPTION AND RELEASE FROM LIABILITY PACIFIC NORTHWEST SKYDIVING CENTER, LLC SKYDIVING AGREEMENT THIS IS AN IMPORTANT LEGAL DOCUMENT. BY SIGNING IT, YOU ARE GIVING UP CERTAIN LEGAL RIGHTS PLEASE READ IT CAREFULLY In consideration of Pacific

More information

Medical and Liability Release Form 2018

Medical and Liability Release Form 2018 Please Print Clearly Medical and Liability Release Form 2018 Name: Today s Date: Birthday: Age: Current Grade: Address: City: State: Zip Code: Parent/Guardian: Phone: Parent Email: Emergency Contact: Relationship

More information

STATIC DISPLAY AIRCRAFT PAPERWORK PACKAGE

STATIC DISPLAY AIRCRAFT PAPERWORK PACKAGE STATIC DISPLAY AIRCRAFT PAPERWORK PACKAGE 55th NATIONAL CHAMPIONSHIP AIR RACES AIR RACES AND AIR SHOW September 12-16, 2018 RENO STEAD AIRPORT RENO, NEVADA USA Each Static Display Aircraft will need the

More information

GET SUMMER TEEN CODE OF CONDUCT

GET SUMMER TEEN CODE OF CONDUCT GET SUMMER TEEN CODE OF CONDUCT The YMCA of Metropolitan Los Angeles is committed to providing a safe and welcoming environment for all members, participants and guests. To promote safety and comfort for

More information

Volunteer Forms Packet

Volunteer Forms Packet Volunteer Forms Packet INSTRUCTIONS FOR COMPLETING VOLUNTEER FORMS 1. Individuals must complete and sign 2 forms: Volunteer form (page 2) Release and Waiver of Liability form (page3 & 4) 2. All volunteers

More information

OFFICIAL ENTRY FORM ENTRY FEE: $250 / DEADLINE FRIDAY, SEPTEMBER 7 / 5PM PST. Estimated Competition Weight: Height: Age:

OFFICIAL ENTRY FORM ENTRY FEE: $250 / DEADLINE FRIDAY, SEPTEMBER 7 / 5PM PST. Estimated Competition Weight: Height: Age: OFFICIAL ENTRY FORM ENTRY FEE: $250 / DEADLINE FRIDAY, SEPTEMBER 7 / 5PM PST PERSONAL INFORMATION Full Legal Name: E-Mail Address: Mailing Address: City: State: Zip: Day Phone: Cell Phone: Estimated Competition

More information

Registration Form. Camper Information. Camper s Name: Camper s Gender: Camper s Age (as of June 1, 2018): Parent s/guardian s Name(s)

Registration Form. Camper Information. Camper s Name: Camper s Gender: Camper s Age (as of June 1, 2018): Parent s/guardian s Name(s) Registration Form 2018 HEAT Camp spaces are limited and available on a first-come, first-served basis. Payment is required in full to reserve a space for your child. This registration form must be completed

More information

Candidate Pack. RBNY Training Facility, NJ

Candidate Pack. RBNY Training Facility, NJ Candidate Pack RBNY Training Facility, NJ Dear Candidate, You are confirmed for the New York Red Bull s interview day at the New York Red Bulls Training Facility, New Jersey. Please read the attached information

More information

2018 BALTIMORE RAVENS CHEERLEADER APPLICATION

2018 BALTIMORE RAVENS CHEERLEADER APPLICATION PRELIMINARY # OFFICE USE ONLY 2 ND ROUND # LAST FIRST 2018 BALTIMORE RAVENS CHEERLEADER APPLICATION IN ORDER TO PROCESS YOUR APPLICATION WE NEED THIS INFORMATION FROM YOU: 1. A $25.00 check or money order

More information

early registration ends September 4

early registration ends September 4 Greenwood village kids triathlon Sunday, September 16 Beginning 8:30am ages 5-16 early registration ends September 4 win new p.e. equipment for your school! Prizes sponsored by Greenwood Pediatrics for

More information

GRACIE GARAGE PARTICIPANT ASSUMPTION OF RISK, CONSENT TO PARTICIPATION, WAIVER OF LIABILITY AND RELEASE OF CLAIMS, AND INDEMNIFICATION AGREEMENT

GRACIE GARAGE PARTICIPANT ASSUMPTION OF RISK, CONSENT TO PARTICIPATION, WAIVER OF LIABILITY AND RELEASE OF CLAIMS, AND INDEMNIFICATION AGREEMENT GRACIE GARAGE PARTICIPANT ASSUMPTION OF RISK, CONSENT TO PARTICIPATION, WAIVER OF LIABILITY AND RELEASE OF CLAIMS, AND INDEMNIFICATION AGREEMENT READ BEFORE SIGNING In consideration of you being permitted

More information

2015 BALTIMORE RAVENS PLAYMAKERS APPLICATION

2015 BALTIMORE RAVENS PLAYMAKERS APPLICATION CHECK # PRELIMINARY # LAST LAST FIRST OFFICE USE ONLY OFFICE USE ONLY FIRST 2015 BALTIMORE RAVENS PLAYMAKERS APPLICATION IN ORDER TO PROCESS YOUR APPLICATION WE NEED THIS INFORMATION FROM YOU: 1. A $30.00

More information

Registration Form Please Check: Boy Girl Age: Camper s Name: Address: City: State: Zip Code:

Registration Form Please Check: Boy Girl Age: Camper s Name: Address: City: State: Zip Code: Registration Form Please Check: Boy Girl Age: Camper s Name: Address: City: State: Zip Code: Contact Name: Emergency Contact Number: Alt. Emergency Contact Number: E-Mail Address: Signature: Alt. Contact

More information

PARTICIPANT APPLICATION & RELEASE WEIGHT LOSS SHOW

PARTICIPANT APPLICATION & RELEASE WEIGHT LOSS SHOW PARTICIPANT APPLICATION & RELEASE WEIGHT LOSS SHOW 1. Please fill out this application and release ( Application and Release ) legibly. 2. Use dark colored ink. 3. Answer all questions honestly and to

More information

The AMA and Minors. To summarize- to sign a minor up you will need either-

The AMA and Minors. To summarize- to sign a minor up you will need either- The AMA and Minors In any AMA event, anywhere in the US, and in any discipline, if the rider is under the age of majority, which in California is 18, that rider cannot enter any AMA race all by him/herself,

More information

2017 BALTIMORE RAVENS CHEERLEADER APPLICATION

2017 BALTIMORE RAVENS CHEERLEADER APPLICATION PRELIMINARY # OFFICE USE ONLY 2 ND ROUND # LAST FIRST 2017 BALTIMORE RAVENS CHEERLEADER APPLICATION IN ORDER TO PROCESS YOUR APPLICATION WE NEED THIS INFORMATION FROM YOU: 1. A $25.00 check or money order

More information

Lakewood Police Explorer Application Packet General Membership Requirements

Lakewood Police Explorer Application Packet General Membership Requirements Lakewood Police Explorer Application Packet General Membership Requirements 1. Applicants must be either 14 years of age and have completed the eighth grade, or between the ages of 15 and 21. 2. Parental

More information

WAYBOTS USER AGREEMENT

WAYBOTS USER AGREEMENT WAYBOTS USER AGREEMENT Last Revised: March 27, 2018 Welcome to Waybots, provided by Waybots, Inc. ( Waybots, we, our, or us )! The Services we provide (defined below) are made available to You ( User or

More information

Swimming Classes. REGISTRATION DEADLINE: June 15, 2018

Swimming Classes. REGISTRATION DEADLINE: June 15, 2018 Swimming Classes Sunshine School will partner with Milpitas Star Aquatics to host swim lessons for students in Grades 1 12. Swimming classes will be held in an indoor facility at 1818 Clear Lake Avenue,

More information

Adult Individual and/or Family Membership

Adult Individual and/or Family Membership Adult Individual and/or Family Membership Sull ivan Farms Recreational Shooting Area / Prentiss County Sportsman's Club Individual Membership If you are an individual, please complete the following forms

More information

GENERAL APPEARANCE RELEASE FORM

GENERAL APPEARANCE RELEASE FORM GENERAL APPEARANCE RELEASE FORM THIS IS A LEGAL DOCUMENT AFFECTING YOUR RIGHTS AND RESPONSIBILITIES PLEASE READ IT CAREFULLY BEFORE SIGNING Various TV shows & website postings/displays (the Program ) In

More information

Parental Consent. Before a student under age 18 can make a tandem skydive we will need the following information:

Parental Consent. Before a student under age 18 can make a tandem skydive we will need the following information: Parental Consent Skydive Canyonlands is excited to now offer students 16 years of age and older the chance to do a tandem skydive. We do need a few more items of consent before we can take students under

More information

WELCOME TO THE Y! TORRANCE SOUTH BAY YMCA ADULT #1 EMERGENCY CONTACT. How did you hear about the. Were you referred by a current member?

WELCOME TO THE Y! TORRANCE SOUTH BAY YMCA ADULT #1 EMERGENCY CONTACT. How did you hear about the. Were you referred by a current member? WELCOME TO THE Y! TORRANCE SOUTH BAY YMCA ADULT #1 Address Apt City State Zip Code Email ADULT #2 Phone Number Email DEPENDENTS (17 years old and younger) Phone Number EMERGENCY CONTACT Name Relation to

More information

ACE of Birmingham Quarter-Year Handbook: 2019 Spring Season

ACE of Birmingham Quarter-Year Handbook: 2019 Spring Season ACE of Birmingham Quarter-Year Handbook: 2019 Spring Season ACE Cheer Company, LLC, strives to help each team member reach or exceed their potential as a competitive cheerleader and as a person. Our program

More information

State Fair of Virginia

State Fair of Virginia NORTH EAST VIRGINIA DRESSAGE SCHOOLING SHOW at the State Fair of Virginia OCTOBER 3, 2018 WELCOME Dressage Exhibitors & Enthusiasts Come Enjoy a Day featuring Dancing With Horses Musical Exhibitions &

More information

2018 Bob Richey Team Camp

2018 Bob Richey Team Camp Coaches Information Form School Name: School Phone: School Address: Head Coach: Cell Number: Assistant Coach: Cell Number: Assistant Coach: Cell Number: Assistant Coach: Cell Number: Statement of Coach

More information

Name: Age: Gender: Address: City State Zip Tribe(s) if applicable: Children s Name(s) attending camp: Phone Number(s): H W C.

Name: Age: Gender: Address: City State Zip Tribe(s) if applicable: Children s Name(s) attending camp: Phone Number(s): H W C. Kansas City Indian Center Culture Camp June 1 June 5, 2019 Camp Counselor or Support Staff Application (Ages 18+) Return ENTIRE application packet to: Kansas City Indian Center, 600 West 39th St, Kansas

More information

PARENTAL CONFIRMATION AGREEMENT

PARENTAL CONFIRMATION AGREEMENT PARENTAL CONFIRMATION AGREEMENT THIS AGREEMENT AND THE ENCLOSED EVENT RELEASE, WAIVER AND INDEMNITY AGREEMENT (EXHIBIT B) EACH NEED TO BE FULLY COMPLETED AND NOTARIZED FOR MINORS UNDER 18 YEARS OF AGE

More information

ASSUMPTION OF RISK / WAIVER OF LIABILITY / PUBLICITY RELEASE (the Agreement )

ASSUMPTION OF RISK / WAIVER OF LIABILITY / PUBLICITY RELEASE (the Agreement ) ASSUMPTION OF RISK / WAIVER OF LIABILITY / PUBLICITY RELEASE (the Agreement ) READ THIS AGREEMENT FULLY AND CAREFULLY. IT AFFECTS YOUR LEGAL RIGHTS. AGREEING TO THE TERMS OF THIS AGREEMENT IS A CONDITION

More information

YOUR INVITED TO TRYOUT FOR TEAM IGLOO LACROSSE

YOUR INVITED TO TRYOUT FOR TEAM IGLOO LACROSSE YOUR INVITED TO TRYOUT FOR TEAM IGLOO LACROSSE Team Igloo Lacrosse Tryouts 2/3 rd Grade Boys Sunday, January 30 th, 2011 7:30 AM to 9 AM (Warm-ups Begin at 7AM) At Mitchell Field Indoor Facility (Rough

More information

SACRED. Transformations. Application for Tattoo Transformation Program

SACRED. Transformations. Application for Tattoo Transformation Program Application for Tattoo Transformation Program Personal Information Name: Address: City: State: Zip Code: Phone: Email: Age: Date of Birth: / / Primary Language: Secondary language: Emergency Contact Information:

More information

WAIVER AND RELEASE, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT PLEASE READ THE FOLLOWING CAREFULLY AS IT AFFECTS YOUR FUTURE LEGAL RIGHTS.

WAIVER AND RELEASE, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT PLEASE READ THE FOLLOWING CAREFULLY AS IT AFFECTS YOUR FUTURE LEGAL RIGHTS. Hosted by: Nauticus WAIVER AND RELEASE, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT PLEASE READ THE FOLLOWING CAREFULLY AS IT AFFECTS YOUR FUTURE LEGAL RIGHTS. WAIVER AND RELEASE In consideration for receiving

More information

Minor Information. Parent/Guardian's Contact Information. Emergency Contact Information. Last Name. Phone. Address: City State Zip Code.

Minor Information. Parent/Guardian's Contact Information. Emergency Contact Information. Last Name. Phone. Address: City State Zip Code. CCCH CHILDREN'S MINISTRY 2018 VBS REGISTRATION AND LIABILITY RELEASE & MEDICAL CONSENT FORM IMPORTANT: Print, sign, and bring to the VBS Registration Table Minor Information First Name Middle Name Last

More information

RIGHT TO USE AGREEMENT 2019

RIGHT TO USE AGREEMENT 2019 RIGHT TO USE AGREEMENT 2019 This right to use Agreement ("Agreement") is made and entered into by and between: [Hereinafter referred to as "Member"] and Kodiak Ski Lake, LLC [hereinafter referred to as

More information

PURCHASES REFUNDS. LOST BADGE or ITEMS WAIVER / ASSUMPTION OF RISK / RELEASE OF LIABILITY. Terms of Service

PURCHASES REFUNDS. LOST BADGE or ITEMS WAIVER / ASSUMPTION OF RISK / RELEASE OF LIABILITY. Terms of Service Terms of Service All participants in KCGameOn LLC's ("KCGameOn") event ("convention") held June 10, 2017, July 29, 2017, October 7, 2017, and December 1-3, 2017 in Kansas City, MO, are required to, and

More information

Registration Form Please Check: Boy Girl Age: Camper s Name: Address: City: State: Zip Code:

Registration Form Please Check: Boy Girl Age: Camper s Name: Address: City: State: Zip Code: Registration Form Please Check: Boy Girl Age: Camper s Name: Address: City: State: Zip Code: Contact Name: Emergency Contact Number: Alt. Emergency Contact Number: E-Mail Address: Alt. Contact Name: Check

More information

CLUB 76 MEMBERSHIP TERMS & CONDITIONS

CLUB 76 MEMBERSHIP TERMS & CONDITIONS CLUB 76 MEMBERSHIP TERMS & CONDITIONS Philadelphia 76ers Club 76 ( Club 76 ) is owned and operated by Philadelphia 76ers, L.P. (such entity, together with the National Basketball Association ( NBA ) team

More information

BRIDIE McCANN MEMORIAL RACE 1K OPEN WATER SWIM Sunday, August 10, 2014

BRIDIE McCANN MEMORIAL RACE 1K OPEN WATER SWIM Sunday, August 10, 2014 BRIDIE McCANN MEMORIAL RACE 1K OPEN WATER SWIM Sunday, August 10, 2014 When: 11:00 am 12:00 pm Check-in & numbering 12:30 pm Pre-race meeting* 1:00 pm Race starts *Note: The pre-race meeting is mandatory

More information

I understand and confirm that I meet the above requirements. ( ) [Please INITIAL when read, acknowledged and agreed.]

I understand and confirm that I meet the above requirements. ( ) [Please INITIAL when read, acknowledged and agreed.] RS#: JR#: Height: Weight: BMI: FIRST NAME: LAST NAME: RELEASE OF LIABILITY AND AGREEMENT NOT TO SUE Requirements: Age at least 18 years old; medical statement is required for 60 and 60+ years old tandem

More information

TERMS OF INSTRUMENT PART 2 SECTION 219 COVENANT HOTEL USE

TERMS OF INSTRUMENT PART 2 SECTION 219 COVENANT HOTEL USE TERMS OF INSTRUMENT PART 2 SECTION 219 COVENANT HOTEL USE THIS COVENANT dated for reference, 2017 is BETWEEN: THE GEORGE GIBSONS DEVELOPMENT LTD. (Inc. No. BC0323021), P.O Box 570, Gibsons, British Columbia,

More information

San Antonio Neighbors

San Antonio Neighbors San Antonio Neighbors 2017 Youth Mission Camp "Recognize that our neighbor is someone as worthy of God's love as I" "Being Jesus" Rejoicing and Sharing God's Love with the World John 3:16-18/2 Corinthians

More information

VOYA 2016 ETHICS AWARENESS WEEK EMPLOYEE VIDEO CONTEST VIDEO SUBMISSION FORM

VOYA 2016 ETHICS AWARENESS WEEK EMPLOYEE VIDEO CONTEST VIDEO SUBMISSION FORM VIDEO SUBMISSION FORM This Voya 2016 Ethics Awareness Week Employee Video Contest Video Submission Form ( Form ) and all appropriate releases (as further described below) must be completed and returned

More information

RAMS HILL RACQUET AND SWIM CLUB ASSUMPTION OF RISK AND RELEASE AGREEMENT

RAMS HILL RACQUET AND SWIM CLUB ASSUMPTION OF RISK AND RELEASE AGREEMENT RAMS HILL RACQUET AND SWIM CLUB ASSUMPTION OF RISK AND RELEASE AGREEMENT I, ("Member"), acknowledge that I have voluntarily applied for membership in the Rams Hill Racquet and Swim Club ("Club") at the

More information

ADULT RELEASE FORM To be signed by Adult traveling with the Group Please print the following information: GROUP NAME: ADULT S NAME:

ADULT RELEASE FORM To be signed by Adult traveling with the Group Please print the following information: GROUP NAME: ADULT S NAME: ADULT RELEASE FORM To be signed by Adult traveling with the Group Please print the following information: GROUP NAME: ADULT S NAME: IMPORTANT! READ CAREFULLY TERMS, CONDITIONS & BINDING ARBITRATION I,

More information

MINOR HOCKEY CROSS ICE JAMBOREE - NOVICE

MINOR HOCKEY CROSS ICE JAMBOREE - NOVICE MINOR HOCKEY CROSS ICE JAMBOREE - NOVICE Proposed Schedule (22 Teams): GROUP 1: Arrival = 11:15am Registration = 11:30pm S.A. Canucks 1 12:15pm - 12:27pm Oil Kids Warriors Attack 2 2 12:28pm - 12:40pm

More information

Candidate Pack. RBNY Training Facility, NJ

Candidate Pack. RBNY Training Facility, NJ Candidate Pack RBNY Training Facility, NJ Dear Candidate, You are confirmed for the New York Red Bull s interview day at the New York Red Bulls Training Facility, New Jersey. Please read the attached information

More information

VOLUNTEER ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT FOR: SECOND HARVEST FOOD BANK OF ORANGE COUNTY, INC.

VOLUNTEER ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT FOR: SECOND HARVEST FOOD BANK OF ORANGE COUNTY, INC. VOLUNTEER ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT FOR: SECOND HARVEST FOOD BANK OF ORANGE COUNTY, INC. Orange County Harvest 8014 Marine Way, Irvine, CA 92618 (949) 653-2900 Adult

More information

VOLUNTEER ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT FOR: SECOND HARVEST FOOD BANK OF ORANGE COUNTY, INC.

VOLUNTEER ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT FOR: SECOND HARVEST FOOD BANK OF ORANGE COUNTY, INC. VOLUNTEER ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT FOR: SECOND HARVEST FOOD BANK OF ORANGE COUNTY, INC. Orange County Harvest 8014 Marine Way, Irvine, CA 92618 (949) 653-2900 Adult

More information

WAIVER OF LIABILITY, ASSUMPTION OF ALL RISKS, AND ARBITRATION AGREEMENT

WAIVER OF LIABILITY, ASSUMPTION OF ALL RISKS, AND ARBITRATION AGREEMENT WAIVER OF LIABILITY, ASSUMPTION OF ALL RISKS, AND ARBITRATION AGREEMENT In consideration of the services of Outfitter Bicycle Tours, its agents, shareholders, subsidiaries, affiliates, directors, successors,

More information

The Great Birthday Bake: A Kids Cookie Competition. by DoubleTree by Hilton Cranberry, benefiting Beverly s Birthdays OFFICAL RULES

The Great Birthday Bake: A Kids Cookie Competition. by DoubleTree by Hilton Cranberry, benefiting Beverly s Birthdays OFFICAL RULES EVENT DETAILS The Great Birthday Bake: A Kids Cookie Competition by DoubleTree by Hilton Cranberry, benefiting Beverly s Birthdays OFFICAL RULES What: A Best Cookie baking competition for children under

More information

Calgary Police Cadet Corps Application

Calgary Police Cadet Corps Application Calgary Police Cadet Corps Application Fostering leadership abilities, cultural tolerance and career development among Calgary s youth. Members of the Corps will define the potential and competence of

More information

Iron Gate Exhibition

Iron Gate Exhibition Iron Gate Exhibition Informed Consent to Participate at Iron Gate Exhibition ( IGX ); Express Assumption of Risk; & Waiver and Release of Liability Agreement ( Agreement ). I, (please print name) intend

More information

REGISTRATION CHECK LIST & POLICIES

REGISTRATION CHECK LIST & POLICIES REGISTRATION CHECK LIST & POLICIES Online Registration: Register the number of students and adults that will come to camp. A $50 nonrefundable deposit is due per person. Registration Rates: Until March

More information

Congratulations! A space has been reserved for you at the Odyssey Teams, Inc. Ropes Course. Be sure to come prepared by reading the following:

Congratulations! A space has been reserved for you at the Odyssey Teams, Inc. Ropes Course. Be sure to come prepared by reading the following: Congratulations! A space has been reserved for you at the Odyssey Teams, Inc. Ropes Course. Be sure to come prepared by reading the following: Odyssey Teams, Inc. 800-342-1650 www.odysseyteams.com 2277

More information

FITNESS CENTER LICENSE AGREEMENT

FITNESS CENTER LICENSE AGREEMENT FITNESS CENTER LICENSE AGREEMENT THIS FITNESS CENTER LICENSE AGREEMENT (the Agreement ), dated as of the date set forth below, is between HCG BLOCK 69 LLC ( Licensor ) and the undersigned ( Licensee ).

More information

LIABILITY WAIVER FORM Sea Kayaking in the Polar Regions

LIABILITY WAIVER FORM Sea Kayaking in the Polar Regions LIABILITY WAIVER FORM Sea Kayaking in the Polar Regions To be completed by participants in Sea Kayaking program onboard the G Expedition. PLEASE COMPLETE AND SIGN THIS FORM AND RETURN TO MS ADVENTURES

More information

REGISTRATION CHECKLIST

REGISTRATION CHECKLIST REGISTRATION CHECKLIST June 17-21 Northern Virginia Online Registration: Register the number of students and adults that will come to camp. A $300 non-refundable deposit is due per church to cover ministry

More information

SPONSORSHIP APPLICATION Pointe Hilton Squaw Peak Resort - Phoenix, Arizona February 17 19, 2017

SPONSORSHIP APPLICATION Pointe Hilton Squaw Peak Resort - Phoenix, Arizona February 17 19, 2017 SPONSORSHIP APPLICATION Pointe Hilton Squaw Peak Resort - Phoenix, Arizona February 17 19, 2017 Deadline to submit application: January 20, 2017 Company Name: Contact Name & Title: Address: City: State:

More information

Avantiplus Cairns Pty Ltd as trustee for Avantiplus Cairns Trust PARTICIPANT'S ACKNOWLEDGEMENT OF RISK FORM INCLUDING WAIVER, RELEASE & INDEMNITY

Avantiplus Cairns Pty Ltd as trustee for Avantiplus Cairns Trust PARTICIPANT'S ACKNOWLEDGEMENT OF RISK FORM INCLUDING WAIVER, RELEASE & INDEMNITY Avantiplus Cairns Pty Ltd as trustee for Avantiplus Cairns Trust PARTICIPANT'S ACKNOWLEDGEMENT OF RISK FORM INCLUDING WAIVER, RELEASE & INDEMNITY Activity: Weekly Shop Ride A group bicycle ride which is

More information

2016 Ulua Challenge TOTAL:

2016 Ulua Challenge TOTAL: S. Tokunaga Store Inc. 619 Manono St. Hilo, HI 96720 *P: 808-935-6965 *F: 808-935-5161 Email: tokunaga@hialoha.net Website: www.tokunagastore.com 2016 Ulua Challenge Start: Thursday, June 9, 2016 at 6:00am

More information

York Vintage Motorcycle Hill Climb

York Vintage Motorcycle Hill Climb York Vintage Motorcycle Hill Climb Saturday 14 th of April 2018 Mt Brown Thank you for your interest in the York Vintage Hillclimb. An event run by enthusiasts for enthusiasts of vintage machines. Participants

More information

INDEPENDENT CONTRACTOR AGREEMENT

INDEPENDENT CONTRACTOR AGREEMENT INDEPENDENT CONTRACTOR AGREEMENT This Independent Contractor ( Agreement ) is entered into the 20 th day of May, 2010 (the ( Effective Date ) by and between the United States Tennis Association Incorporated,

More information

SIGNATURE ! Staff and Experienced Jumpers only!

SIGNATURE ! Staff and Experienced Jumpers only! 1 PLEASE PRINT CLEARLY Date First Name Last Name Occupation Employer Home Phone( ) Cell Phone ( ) Address City State Zip Code Country E-Mail Address Date of Birth Height Weight (lbs.) Emergency Contact

More information

RELEASE AND INDEMNIFICATFION AGREEMENTS (Minor)

RELEASE AND INDEMNIFICATFION AGREEMENTS (Minor) RELEASE AND INDEMNIFICATFION AGREEMENTS (Minor) THIS CONSENT, RELEASE, AND INDEMNIFICATION AGREEMENT ( Release ) is entered into by the undersigned in favor of Heritage Park LLC and Indian Valley Stables

More information

Camp Pump It Up Registration Form

Camp Pump It Up Registration Form Camp Pump It Up Registration Form Parent/Guardian Name: Child s name: Birth Date: Child s name: Birth Date: Child s name: Birth Date: Email Address: Address: Other adults authorized for pick up: Best phone

More information

Wise County Law Enforcement Explorers Post 500

Wise County Law Enforcement Explorers Post 500 Wise County Law Enforcement Explorers Post 500 1007 13 th Street Suite 101 Bridgeport, Texas 76426 MEMBERSHIP APPLICATION Failure to properly and thoroughly complete this document may result in the rejection

More information

POLE VAULT ELITE WAIVER

POLE VAULT ELITE WAIVER In consideration of the services of POLE VAULT ELITE, I hereby agree to release, indemnify, and discharge POLE VAULT ELITE, on behalf of myself, the minor(s) for whom I sign (hereinafter referred to as

More information

LAST CHANCE. PUSH/PULL Bench Press A.A.U. Meet!

LAST CHANCE. PUSH/PULL Bench Press A.A.U. Meet! LAST CHANCE PUSH/PULL Bench Press A.A.U. Meet! Location: 8110 W Union Hills Dr #250 Glendale, AZ 85308 Date: Saturday 18 th of August, 2018 Time: Saturday, doors will open at 8 am, Rules brief at 9 am,

More information