U16 Eastern Finals. States should submit entries to Patti Nichols at
|
|
- Beverly Fisher
- 5 years ago
- Views:
Transcription
1 LOCATION: Sunday River, Maine For directions go to web address EVENT: Super G Training March 6, 2014, 11:00AM Super G Race March 7, :00AM Slalom March 8, 2014, 9:30 AM Giant Slalom March 9, 2014, 9:30AM COURSE: Super G T2/Cascades SL Monday Mourning GS T2/Monday Mourning SANCTION: ELIGIBILITY: ENTRY: USSA USSA- U16 Qualified Athletes States should submit entries to Patti Nichols at pnichols@ussa.org ENTRY FEES: $240 All Athletes MUST have attached release signed by Parent/Guardian FOR MORE INFO: Tory Haynes vhaynes@sundayriver.com (fax) PO Box Barker Mtn. Road Newry, ME LIFT TICKETS: Included in entry fee. 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 Tory Haynes no later than March 3, 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 Sunday River Competition Center - $50 REGISTRATION: March 5 4:00pm to 6:00 pm Grand Summit Hotel, Ketchum/Riley March 6 7:00 am to 9:00am Grand Summit Hotel, Ketchum/Riley TEAM CAPTAINS March 5 6:00 pm Grand Summit Hotel, Ketchum/Riley MEETING: March 6 4:30 pm Grand Summit Hotel, Ketchum/Riley March 7 4:30 pm Grand Summit Hotel, Ketchum/Riley March 8 4:30 pm Grand Summit Hotel, Ketchum/Riley AWARDS: ATHLETE WELCOME PARTY/ SUPER G AWARDS: Top 10 male and female for each race. Top 10 male and female overall for series. Friday, March 7, 2014, 5:00 PM at Grand Ballroom, Grand Summit Hotel Athletes do not need to purchase a ticket for this event. Each athlete is permitted to purchase one additional ticket for a guest to attend. Additional tickets may be available at registration.
2 !" #!$! %& ' (' ) '" '*(%!+!" #$%& '($)*$%*&$ "", (% # +, *& -/'*0-1"' *(! -2! " ' *(!"% /!" 0 0 (% 1 +! ('' (*( ) ')))%(%% # % & 65.!!%8"(%9!"(' ' 5:%.") '(') % ' '!"('%!."! * 1 1%) '('2 %1") '(' %! #:'")'('2 5 *(11! 5: :'% "#$$ 9!('( 7(, (%%;) ("!((!!(*('5 % % 1( <.=!' 0%.3 5:3.'! %9! ) "() ( 4!0!! %#! & (, (% '()*+,-./.// 0 1 (0 $2//!-
3 REGISTRATION FORM & & #8. & & &..4: % ; %&# %#4 % :4%%#4 % :4%&# & 3%#%& %. %.4# < %6. %#55555 #!/=),* $232 #8>,?**(40 ( *,)@+ #$ $- 44#64%.4#.#4 "#. ## "#. #33.#4 & "#. 84# & ##6 4 #8&4#6A:# 6BC &###64 #:."A3 #6 B #C
4 2014 Eastern U16 Championships Welcome Party Ticket Order Form Friday, March 7, 2014 Competitor Name: (please print first and last name) I would like to purchase an additional ticket at $25.00 per ticket yes no Please make checks payable to Sunday River Or send credit card info below: CC# Exp. Date Security Code I understand that if additional tickets are available, I can purchase them at registration.
5 SUNDAY RIVER SKI RESORT ACKNOWLEDGMENT AND ACCEPTANCE OF RISKS AND LIABILITY RELEASE WARNING: All forms of Alpine competitions and/or activities are hazardous - your safety is directly affected by your judgment. Always Ride/Ski in control. Be alert to the many risks inherent in the sport including, but not limited to, changing weather and surface conditions, falls resulting from man-made and natural objects, design and condition of natural and manmade snowshapes, severe terrain changes, hard or uneven landings and collisions with other participants, spectators, snow vehicles, and natural and manmade objects. I acknowledge and agree that the phrase "risk" means those risks which are listed in this agreement, in signs and notices throughout the Sunday River Ski Resort or those that can reasonably be inferred therefrom, and all risks inherent in the sport of skiing. I AGREE FREELY AND VOLUNTARILY TO ASSUME ALL RISKS, including the risk of death, injury or damage to person or property associated with the use of the Sunday River Ski Resort and its premises. 1. In consideration of being allowed to participate in the Eastern U16 Finals (Event) I hereby agree, for myself, and anyone on my behalf, to the fullest extent allowed by law, TO RELEASE, HOLD HARMLESS AND INDEMNIFY, Sunday River Skiway Corporation, Boyne USA, its owners, officers, directors, affiliates, subsidiaries, leassors, employees, agents and assigns (the Releasees) from any and all legal responsibility or liability for death, injury or property damage based upon any cause or claim arising from my use of the Sunday River Ski Resort and its premises, under any legal theory, including, directly or indirectly, the NEGLIGENCE of the Releasees, the inherent risks of the Event, and the sport of snowboarding/skiing including preparation for the Event, accepting for myself full legal responsibility for any and all such death, injury or property damage which may result. I PROMISE NOT TO SUE RELEASEES. Should any claim or action be asserted in contravention to this agreement, I or my successors shall be liable for all expenses, including Releasees court costs and attorney fees. 2. I understand that participation in this Event is/are hazardous and that only I know whether or not I have the physical and mental ability to safely participate in the Event. I acknowledge that I have been advised to inspect the Event venue prior to practicing or participating and that if I am unsure about my ability to participate I can decline without penalty; otherwise I will have made a voluntary choice to participate despite the risks. I accept for myself any risks associated with the Event. 3. This Agreement is intended to comply with the laws of the State of Maine to the fullest extent allowed by law. If any part of this agreement is determined to be unenforceable, all other parts shall be given full force and effect. 4. I agree that all disputes arising under this contract or my use of any facilities at Sunday River, shall be litigated in the State or Federal courts in the State of Maine and governed by its laws and procedures. 5. I also agree, that in the event that anyone makes any claim against the Releasees as a result of any of my activities on their premises or the use of their facilities, that I will INDEMNIFY, HOLD HARMLESS AND DEFEND the Releasees from such claims including their court cost and attorney's fees. 6. For good and adequate consideration, which I acknowledge I have received, I hereby grant, release and quitclaim to the Releasees the right and authority to use, sell, reproduce, and distribute, quoted material, biographical information, my photographs, likeness, recorded voice or videotaped filmed appearances for promotional purposes or programs as the Releasees in their sole discretion shall deem appropriate. Participant Name (Printed) Signature Date Age: Address As the parent/guardian of the minor participant, I represent and guarantee that I have full legal authority to act on the minor participant s behalf. I have read, understand, and agree that the minor or anyone on behalf of the minor, including me, is bound by the terms of this RELEASE OF LIABILITY. Furthermore, if any claim or actions brought in contravention of this agreement, including any claim on account of NEGLIGENCE, I agree to INDEMNITY, HOLD HARMLESS AND DEFEND Releasees for any and all expenses incurred, including court costs and attorney s fees, and any damages for which Releasee s may be adjudged legally liable to pay. Parent/Guardian Name Parent /Guardian Signature
IMD Championship Race Announcement March 10-13, 2016 Brundage Mountain Resort
Events: 1 Dual GS, 1 SL, 1 GS IMD Championship Race Announcement March 10-13, 2016 Brundage Mountain Resort Entries: $70 for the series. Includes all 3 events, tubing tickets for families and athletes,
More information61st Annual Cranston Cup North Series Slaloms January 21 & 22, 2012
61st Annual Cranston Cup North Series Slaloms January 21 & 22, 2012 LOCATION: ENTRY ADDRESS: Tamarack Resort BBSEF Attn: Shannon Carrell 1675 Hill Rd Suite A Boise, ID 83702 (208) 336-5295 Fax (208) 336-1337
More informationSchedule: When: Saturday, December Time: 9:00-4:00pm Where: Garrett s Sports Complex/Fieldhouse Cost: $60/ per athlete
When: Saturday, December 9. 2017 Time: 9:00-4:00pm Where: Garrett s Sports Complex/Fieldhouse Cost: $60/ per athlete Instructors: SU Coaches & current SU Athletes Schedule: 9:00-9:45 Registration 9:45
More informationRelease of Liability PLEASE DO NOT CHANGE OR ALTER THE WORDING ON THIS WAIVER WITHOUT PRIOR APPROVAL FROM USROWING.
Release of Liability IN CONSIDERATION of being given the opportunity to participate in any USRowing activity, including scheduled, supervised club activities, and registered regattas, during the policy
More informationTelluride Ski and Golf Assumption of Risk, Release of Liability, and Indemnity Agreement 3. Media Release: 4. Medical Care: 5.
Telluride Ski and Golf Assumption of Risk, Release of Liability, and Indemnity Agreement The purpose of this Agreement is to exempt, waive, and release Released Parties from any and all liability for wrongful
More informationBlue Knob Snow Sports Club, Inc Registration Form 2018/2019 Ski Season
Registration Information: 1. All participants should be at least 8 years of age (Category U10) by Dec 31 st 2018. 2. Intermediate skiing skills are necessary (parallel turns on most slopes). 3. Participants
More informationDave Spencer Ski Classic February 22-24, 2019
Dave Spencer Ski Classic February 22-24, 2019 REGISTRATION FORM Registration forms, pledge sheets, and all money owed will be due Saturday, February 24. Please turn in partial pledges in advance it helps
More informationBelmont Parks & Recreation PO Box 310, Belmont NH Phone Website:
Belmont Parks & Recreation PO Box 310, Belmont NH 03220 Phone 603-267-1865 E-mail: recreation@belmontnh.org Website: www.belmontnh.org YOUTH REGISTRATION FORM Gunstock Outreach Ski Program: March 9, 16,
More informationRaising Money for Autism
Raising Money for Autism Appendix I 1.) Release of Liability Form: 2.) Consent and Release of Guardian Form: 3.) Volunteer Sign Up Sheet 4.) Bowl-a-Thon Flyer In this section you will find all the forms
More informationTHE 43rd ANNUAL COLORADO PEACE OFFICERS SKI/SNOWBOARD RACE ****FRIDAY, March 11, 2016****VAIL, COLORADO****
THE 43rd ANNUAL COLORADO PEACE OFFICERS SKI/SNOWBOARD RACE ****FRIDAY, March 11, 2016****VAIL, COLORADO**** ENTRY FEE: $75.00 prior to February 26, 2016 DEADLINE: March 7, 2016 $90.00 on or after February
More informationPromoters hosting USECF insured events must complete the included USECF event agreement and return to the USECF.
Dear Race Director, Thank you for your interest in using the USECF event coverage for your event. Enclosed you will find USECF insurance information for the 2017 year which can be used for gravel grinders,
More information2016 5K Reindeer Run/Walk Team Registration
2016 5K Reindeer Run/Walk Team Registration Team Registration Forms and Waiver must be fully completed and received by December 2 nd in order to receive the $20/person group rate; Minimum of 3 people per
More informationNSU PREVIEW DAY. Wednesday, March 28, :00 a.m. 6:00 p.m.
PREVIEW DAY NSU Multimedia Camp Wednesday, March 28, 2018 8:00 a.m. 6:00 p.m. Parent/Guardian Contact Information Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement Photo Release
More information2019 United States Snowshoe Association Event Sanctioning Application
2019 United States Snowshoe Association Event Sanctioning Application USSSA 5317 Thistlebrook Court Raleigh, NC 27610 518-420-6961 Application Must Be Submitted At Least 60 Days Prior to Event Thank you
More informationPersonal Finance Summer Institute for College Readiness Application Instructions:
Personal Finance Summer Institute for College Readiness Application Instructions: Complete all fields in the Summer Institute Application (pages 2-6), print, and sign. Please print clearly or type. Make
More informationSouth Suburban Youth Rugby Club
South Suburban Youth Rugby Club Middle School Grades 4-8 High School Fresh-Soph & Varsity Registration for 2016 Spring Season ALL FORMS MUST BE COMPLETED AND TURNED IN AND DUES PAID IN FULL BEFORE A PLAYER
More information2017 Haunted Halloween Race
2017 Haunted Halloween Race October 28, 2017 5:30pm 7:00pm (1.5 hour meet at regular speed session time) Hosted by: Core Speedskaters INFORMATION You must be a member of Northern California Speedskating
More information23rd Annual Go Shibata Memorial Texas Judo Inc. All Star Event
HOST: www.aggiejudo.com DATE: LOCATION: Physical Education Activity Building (PEAP) 632 Penberthy Road College Station, Texas 77843 SANCTION: USA Judo Sanction #19523 v1 8/7/18 WEIGH IN: Weigh in and Registration
More information2019/2020 Season Pass Minor Release of Liability Instructions
2019/2020 Season Pass Minor Release of Liability Instructions Age is determined on January 1, 2020 1. Attach the pass holder s proof of age (page 5). 2. Complete pages 2-3. Legal Parent or Guardian must
More informationCHATTAHOOCHEE HILLS Southeastern Schooling Show Championships - Class List September 29 30, 2018
Rider Name: CHATTAHOOCHEE HILLS Southeastern Schooling Show Championships - Class List September 29 30, 2018 Horse Name: Championship Eventing & CT Classes * One 3-Phase Eventing * Sat Sun Championship
More informationNON-EMPLOYEE ACTIVITY RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
NON-EMPLOYEE ACTIVITY RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT Albright allows Participants to participate in Participant activities that may involve or require overnight
More informationWe are again offering Super G training on the race venue for teams on Monday March 14th.
February 19, 2016 Welcome U14 Championship coaches! We are excited to see you at this year s USSA U14 Championships at Winter Park. Please take a moment to fill out the attached coach s registration forms
More informationPersonal Finance Summer Institute Application Instructions: Read all instructions carefully, incomplete applications will not be considered.
Application Instructions: Read all instructions carefully, incomplete applications will not be considered. The 2017 will be June 26 June 30. Complete all fields in the Summer Institute Application. Print
More informationFlorida Waiver (Commercial) (All parents of minors who are Florida residents must sign both the Florida commercial and non-commercial waivers)
Florida Waiver (Commercial) (All parents of minors who are Florida residents must sign both the Florida commercial and non-commercial waivers) (Commercial Activity Providers) WAIVER AND RELEASE OF LIABILITY
More information22nd Annual Go Shibata Memorial & Brown Belt Championships Texas Judo Inc All Star Event
HOST: Judo Team DATE: LOCATION: SANCTION: WEIGH-IN: Physical Education Activity Building (PEAP) 632 Penberthy Road College Station, Texas 77843 USA Judo Sanction pending Weigh-in and Registration at the
More information31 st Annual Bluegrass Festival August 10 th 12 th, 2018
31 st Annual Bluegrass Festival August 10 th 12 th, 2018 Vendor Name: Contact: Cell #: Email: Retail Vendor Application & Agreement DUE April 6 th, 2018 Vendors applying for 2018 Bluegrass Fest will be
More informationD.M.G. Athletics. The Official Indoor/Outdoor Summer Basketball League. Team Registration Packet
D.M.G. Athletics Presents The Official Indoor/Outdoor Summer Basketball League Team Registration Packet Questions: Contact Coach Dawne Gittens at 860-929-7692 or via email at dgittens@bgchartford.org Team
More informationBash Spirit. BASH Spirit Grand National April 21, 2018 Nova University. City State Zip City State Zip
Registration Form Bash Spirit PHONE: 877-7BASH55 4095 State Road 7 Suite L #145 FAX: 877-756-9783 Lake Worth, FL 33467 Email: Please send in signed acknowledgement of rules with registration. Complete
More informationParticipant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / /
2018 Denver NorthSide TTC FALL CLASSIC TOURNAMENT ENTRY FORM Sponsored by Denver Northside Table Tennis 1-Star Tournament Sanctioned by USATT with $500.00 in Cash and Trophies Saturday, October 13 th,
More informationCentral Plains Dressage Society Dressage Schooling Show at Oklahoma State Fair State Fair Park, Oklahoma City OK
Central Plains Dressage Society Dressage Schooling Show at Oklahoma State Fair State Fair Park, Oklahoma City OK Featuring Dressage and Western Dressage Excellent facility and footing Monday, September
More informationMEMBERSHIP CATEGORY (circle one) For current dues please refer to the website Membership page
Page 1 MEMBERSHIP REGISTRATION RAT ISLAND ROWING AND SCULLING CLUB NAME (print clearly): Date of birth: / / Home phone: ( ) - - Work/Cell: ( ) - - Email: Mailing address (city/ state) (Zip) Today s date:
More informationCHAPERONE REGISTRATION FORM. Gunstock Outreach Ski Program: March 9, 16, 23, 2014 (3 weeks)
Belmont Parks & Recreation REGISTRATION FORM PO Box 310, Belmont NH 03220 Phone 603-267-1865 E-mail: recreation@belmontnh.org Website: www.belmontnh.org CHAPERONE REGISTRATION FORM Gunstock Outreach Ski
More informationBlue Chip BOTT Event Agreement and Waiver
Blue Chip BOTT Event Agreement and Waiver BLUE CHIP AGREEMENT AND LIABILITY WAIVER (this "Agreement and Waiver") PLEASE READ THE FOLLOWING AGREEMENT CAREFULLY, AS IT AFFECTS YOUR FUTURE LEGAL RIGHTS. BY
More informationSKATEBOARD COMPETITION ENTRY FORM
CITY OF KISSIMMEE PARKS, RECREATION & PUBLIC FACILITIES SKATEBOARD COMPETITION ENTRY FORM For your convenience, competition entry forms will be accepted in person, by mail, via fax or email at the location
More informationNights of Lights Youth Opti Regatta. ENTRY FORM AND RELEASE OF LIABILITY AGREEMENT Saturday December 15, Skipper s Name: DOB: Age: Boat/Fleet:
Nights of Lights Youth Opti Regatta ENTRY FORM AND RELEASE OF LIABILITY AGREEMENT Saturday December 15, 2018 Skipper s Name: DOB: Age: Boat/Fleet: Club: Sail Number: Coach Name: Coach Phone: MUST CHECK
More informationVOLUNTEERING ORGANIZATION APPLICATION FOR ADOPTING A PARK FOR LANDSCAPING OR LITTER ABATEMENT
VOLUNTEERING ORGANIZATION APPLICATION FOR ADOPTING A PARK FOR LANDSCAPING OR LITTER ABATEMENT I. The following information must be provided for review and approval before adopting a park within the City
More informationSport of Kings Challenge Warmup at Oklahoma State Fair Oklahoma City, OK Monday, September 17, 2018
Sport of Kings Challenge Warmup at Oklahoma State Fair Oklahoma City, OK Monday, September 17, 2018 Hunter, Jumper Excellent facility and footing 2 PM HJ Start Time Judge: TBA Entry Information: www.horseshowconsulting.com
More informationPLAYER CARD:
Congratulations on your selection to play in the 2018 All Star Classic Game & Combine. It is a great honor for you to represent your team and home town in this game. We have carefully reviewed nominations
More informationMAKE WELLSTON BEAUTIFUL, INC
MAKE WELLSTON BEAUTIFUL, INC Parks and Recreation Programs REGISTRATION FORM Please submit this form along with your completed Emergency/Release Form and Registration Fee. Make checks payable to Make Wellston
More informationTennessee Wesleyan University Volleyball Skills Camps
Tennessee Wesleyan University Volleyball Skills Camps s: June 2 and June 9, 2018 at James L. Robb Gymnasium (204 E College St, Athens, TN 37303) (1:00pm-6:00pm, check in begins at 12:30pm) Cost: $75 per
More informationEntry Form Idaho Regatta June 22-24, 2018
Entry Form Idaho Regatta June 22-24, 2018 For Info call: Louis Schindler (760) 831-2325 Email: louisschindler2@gmail.com Website: www.idahoregatta.org Driver Name First Address City State Zip Phone ( )
More informationESO GIRLS FASTPITCH SOFTBALL 2017 PLAYER REGISTRATION
ESO GIRLS FASTPITCH SOFTBALL 2017 PLAYER REGISTRATION Player Information First Name: Last Name: Address: City, State, Zip: Home Phone: Email: Date Of Birth: School: Grade: Jersey Size: Age Division Select
More informationWAIVER, RELEASE OF ALL LIABILITY AND ASSIGNMENT OF CLAIMS. As consideration for being allowed to participate in the event described below, I agree:
WAIVER, RELEASE OF ALL LIABILITY AND ASSIGNMENT OF CLAIMS As consideration for being allowed to participate in the event described below, I agree: 1. I acknowledge that motor vehicle activity is a potentially
More informationInformation about membership -
MEMBERSHIP INFORMATION 2018 We are excited about ST. CROIX JOAD and the opportunities that will present themselves to youth archers ages 8-20. ST. CROIX JOAD is one of only a handful USA ARCHERY JOAD clubs
More informationAthletics Participation and Pre-Participation Head Injury/Concussion Reporting Form
Athletics Participation and Pre-Participation Head Injury/Concussion Reporting Form Fall Athletics, 2018 The Parent(s)/Guardian(s) must fill in all blanks. Please print clearly. Athlete s Name: Date of
More informationLake Washington Rowing Club
Lake Washington Rowing Club 2018 Junior Rowing Program Participant Information Form Participant Information (all fields must be filled out),, Last Name First Name Today s Date Mailing Address Birthdate
More informationRelease. I, do hereby:
, Release I, do hereby: 1. Release waive discharge and covenant not to sue Turning Point Farms, Inc. and/or Theresa Petyo, Amanda Swendseid, their operators, horse owners, investors, and each of them,
More informationO*H*I*O MASTERS SWIM CLUB (Old Hearts Inspiring Others) CLEVELAND - WEST SIDE Swim Workouts WINTER, 2017
O*H*I*O MASTERS SWIM CLUB (Old Hearts Inspiring Others) CLEVELAND - WEST SIDE Swim Workouts WINTER, 2017 COACHED WORKOUTS for WINTER 2017 - We offer workouts overseen by experienced coaches. All adult
More informationBetsy Owens Memorial Lake Swims
14 th Annual Betsy Owens Memorial Lake Swims One Mile and Two Miles Mirror Lake in Lake Placid, New York Saturday, August 15, 2015 Sponsored by: Adirondack LMSC & North Elba Park District Sanctioned by:
More informationALBION COLLEGE RELEASE AND WAIVER: CAMP PROGRAMS
ALBION COLLEGE RELEASE AND WAIVER: CAMP PROGRAMS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT I, (or hereinafter on behalf of my minor child) ( Participant ), hereby acknowledge
More informationPlease fill out both sides of this form!!!
$ # Circle one: Mixed Doubles Rockbridge Hunt Hunter Pace & Trail Ride Please fill out both sides of this form!!! Entry fee: Adult rider (18 and over) -- $35 per horse Junior rider (under 18) -- $20 per
More informationParticipant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / /
ENTRY FORM Sponsored by Denver Northside Table Tennis 1-Star Tournament Sanctioned by USATT with $ 300 in Cash and Prizes Saturday, March 24 th 2018 www.denvernorthsidett.com or 303-601-3415 Participant
More information2013 USACA MEMBERSHIP & INSURANCE
2013 USACA MEMBERSHIP & INSURANCE USACA Membership and Insurance Dues for 2013 Membership and Insurance rates for 2013 will remain the same as 2012 rates Membership and Insurance (general liability and
More informationThe Allegheny River Rumble
Three Rivers Adaptive Sports & Golden Triangle Water Ski Club Presents: The Allegheny River Rumble Sunday August 26, 2018 Golden Triangle Water Ski Club facility on the Allegheny River s Nine Mile Island
More informationVoluntary Waiver, Consent, Release, and Hold Harmless Agreement PLEASE READ THIS AGREEMENT CAREFULLY.
Voluntary Waiver, Consent, Release, and Hold Harmless Agreement PLEASE READ THIS AGREEMENT CAREFULLY. DO NOT SIGN THIS AGREEMENT UNLESS YOU AGREE TO THESE TERMS. RIDING IS VOLUNTARY; YOU ARE NOT REQUIRED
More informationForm Generic Liability Waiver. Legal Disclaimer
Form Generic Liability Waiver Developed by Ashley Newhall * and Kathleen Tabor Legal Disclaimer Attached is a generic liability waiver. This waiver is for educational purposes only! Using this form does
More informationRegistration Form Altius Handcrafted Firearms Biathlon Training Camp July, 2018 West Yellowstone, MT
Registration Form Altius Handcrafted Firearms Training Camp Camp registration is open to participants age 14 (2004 birth year) and older. This is a camp for experienced Biathletes who are looking for both
More informationBubbaFest Florida Keys November 3th November 10th, 2018 Please TYPE or PRINT CLEARLY
BubbaFest Florida Keys November 3th November 10th, 2018 Please TYPE or PRINT CLEARLY Name: Male: Female Address: Age City, State & Zip: Home Number: Email Address: Cell Phone: Shirt Size Vegetarian meal
More informationSomervell County Horse Camp
25th Annual Somervell County Horse Camp June 3, 4 & 5, 2013 What is Horse Camp? This hands-on camp conducted by collegiate and professional horseman teaches functional horsemanship and improves horse training
More informationPARTICIPANT AGREEMENT (For Adult Participants) RELEASE OF LIABILITY, VOLUNTARY ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
EXHIBIT D PLEASE READ CAREFULLY (For Adult Participants) RELEASE OF LIABILITY, VOLUNTARY ASSUMPTION OF RISK AND INDEMNITY AGREEMENT I,, a person being over the age of eighteen, hereby enter this RELEASE
More informationThe Clubs of Prestonwood Junior Golf Academy Summer Golf Camps 2016
The Clubs of Prestonwood Junior Golf Academy Summer Golf Camps 2016 Creek Course 9:00am 12:00pm / 4:00pm 2016 Golf Summer Academy Camp Sessions Session 1 June 7-10 Session 2 June 21-24 Session 3 July 5-8
More informationTWST REGISTRATION Taos Sports Associates dba Taos Winter Sports Team PO Box 3011 Taos, NM
TWST REGISTRATION Taos Sports Associates dba Taos Winter Sports Team PO Box 3011 Taos, NM 87571 director@taoswintersportsteam.com We strive to help athletes achieve Gold in their physical, mental, personal,
More informationInstructions for Completing Ford DSFL Waivers
Instructions for Completing Ford DSFL Waivers 1) Print out the four (4) forms attached. (Print in color if possible) 2) All 4 forms must be filled in COMPLETELY. If forms are not completed and signed properly
More information1 Folmer Drive, Cortland, NY (607)
2019 WINTER GAMES Proudly hosted by the Cortland County Firemen s Association FEBRUARY 9-10, 2019 SCHEDULE OF EVENTS EVENT VENUES Greek Peak Ski Resort 2000 Route 392, Cortland, NY 13045 (607) 835-6111
More informationMedia $0 Enter Total. Enter Discount. Multi Sport Discount ($100) Total After Discount
2018-2019 Mountain Sports Dues - Name: The online registration calculated your dues. You can also use the table below to calculate your Mountain Sports dues. Please note that your dues may not cover expenses
More informationATTACH CURRENT PHOTO OF CHILD
Administrative Use Only Date Received Initials Date Entered Initials Acceptance Letter Initials ATTACH CURRENT PHOTO OF CHILD EXPLORERS CADETS BOXING VENTURING BASKETBALL EXPLORER ACADEMY SPRING DAY CAMP
More information2019 Membership Packet
2019 Membership Packet Membership Checklist TASK Get USA Waterski Insurance http://usawaterski.org/pages/join.html You MUST have continuous coverage from February 1 st - October 1 st. No insurance = no
More informationSession I and Session II Session I: June 5 June 9, Performance June 10th; Hollydale United Methodist Church
th Session I and Session II Session I: June 5 June 9, Performance June 10th; Hollydale United Methodist Church Session II: June 12th - June 16th, Performance June 13th; Music On Wheels Academy Music Camp
More informationUpper Natoma Rowing Club Junior Member Application (Please print clearly)
Upper Natoma Rowing Club Junior Member Application (Please print clearly) Name Birth Date Address City State Zip Code Phone Numbers (Home) Athlete (Cell) Athlete E-mail address School Graduation Year USRA
More informationThe College of Engineering & Computer Science Webelos Engineering Pin Day Saturday, October 28, 2017
The College of Engineering & Computer Science 2017 Webelos Engineering Pin Day Saturday, October 28, 2017 Registration at 7:30 a.m. - Event runs from 8:00 to 11:15 a.m. University of Evansville Koch Center
More informationUNITED STATES AUTO CLUB
UNITED STATES AUTO CLUB 2015.25 MIDGET FAMILY COMPETITION LICENSE APPLICATION FOR ANNUAL FAMILY MEMBERSHIP & AUTHORIZATION FOR PUBLICITY USEAGE ANNUAL RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK
More information2018 Youth Academy Parent/ Guardian Agreement with NUS s Continuing Education
2018 Youth Academy Parent/ Guardian Agreement with NUS s Continuing Education Welcome to NSU Youth Academy! We are excited to have your child with us. In order to provide the best experience for our students
More informationTULANE UNIVERSITY ATHLETICS CAMPS Physical Examination Information. Date / / Name of Camp: Name of Participant: Age: Birth date: / /
Physical Examination Information Date / / Name of Camp: Name of Participant: Age: Birth date: / / Each participant must EITHER attach a copy of a physician conducted sports examination applicable to this
More informationASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNIFICATION AGREEMENT
Guest #: For Office Use Only ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNIFICATION AGREEMENT Please print clearly: Participant s First Name: Last Name: Address: City, State: Zip: Current Age: Date
More informationSt. Cloud Steelhead Rugby Club Registration Check List 2011 (SCRF01)
St. Cloud Steelhead Rugby Club Registration Check List 2011 (SCRF01) Please make checks payable to St. Cloud Rugby Steelhead Player Full Name: Shorts Size needed (circle one, shorts are men s sizes): Small
More informationJAMZ 2017 THOUSAND OAKS CHEER & DANCE CAMP
JAMZ 07 THOUSAND OAKS CHEER & DANCE CAMP EVENT DETAILS WHEN: Saturday, August th - Sunday, August th CAMP SCHEDULE: SATURDAY 8:0am - Coach Check-in 9:0am - :0pm - Camp Instruction SUNDAY 9:0am - :0pm -
More informationCan-Am X-Team Racer Support Program Application Form PLEASE PRINT CLEARLY. INCOMPLETE OR ILLEGIBLE FORMS WILL DELAY PROCESSING.
Supporting Dealer Identification BRP Dealer # : Dealership Name : Dealership Fax Number : Dealer Contact : Email : Phone number : Racer Identification You must have had some racing experience in the past
More informationVENTURA COUNTY FAIR EXCA COWBOY CLASSIC
VENTURA COUNTY FAIR EXCA COWBOY CLASSIC Presents Event Date: August 10, 2017 Triple Point Race (1 Run) Multiple Division Entries Permitted Rider Name: EXCA Member #: Address: City / State / Zip: Telephone:
More informationMIAMI ROWING & WATERSPORTS CENTER, INC Membership (6 pages) Application For:
MIAMI ROWING & WATERSPORTS CENTER, INC. 2017 Membership (6 pages) Application For: FAMILY MEMBERSHIP: Initiation Fee: $500.00 Monthly Dues: $110.00 Annual Due $1320.00 Equipment Fund Monthly Due $15.00
More informationKids Creation Camp SCHOLARSHIPS ARE AVAILABLE! $205/Child $245/Child
Kids Creation Camp SCHOLARSHIPS ARE AVAILABLE! $205/Child $245/Child Kids Creation Camp SCHOLARSHIPS ARE AVAILABLE! $205/Child $245/Child Registration Form Please fill out and return to the address below
More information2010 POLARIS ATV CONTINGENCY PROGRAM
2010 POLARIS ATV CONTINGENCY PROGRAM Welcome to the Polaris ATV Contingency Program. For 2010 Polaris is offering an industry leading contingency program for the top seven recognized racing series in North
More informationDart Carolina Finish location will be Nags Head, North Carolina. All RUSA rules must be followed info on Dart Rules Team Randonnées
Dart Carolina 2012 Start date will be April 5-8, 2012 covering a minimum of 200k with each 3 to 5 member team finishing 12 hours after their assigned start time. Each team may start its ride between noon
More informationSouthern Swing Camps SIGN UP TODAY!!!
www.southernswing-volleyball.com Welcome from Southern Swing The Southern Swing Volleyball Camp strives to provide all its campers an opportunity to BE BETTER! Whether you are a beginner, intermediate,
More informationMay 17, 2017 UNR Equestrian Center Reno, NV
May 17, 2017 UNR Equestrian Center Reno, NV The due date for complete applications to be received by the State 4-H Office in Reno is May 5, 2017. Please note that your application requires the signature
More informationDear Team Captains, Managers and Members The waiver consists of : 1. Team Waiver which also acts as the team roster. 2. Combined Team waiver signature page for: Apendix A, B, B1, C 3. Appendix A: Team:
More informationMEDICAL INFORMATION AND MEDICAL TREATMENT RELEASE AND AUTHORIZATION FORM
MEDICAL INFORMATION AND MEDICAL TREATMENT RELEASE AND AUTHORIZATION FORM Camp Information Address: City, State, Zip Code: Gender: Medical Information The decision whether to permit the participant identified
More informationRETAIN THIS SHEET FOR YOUR INFORMATION AND MAIL ENTRY FORM
REVISED 01/20/08 SIXTH ANNUAL AAU TRIPLE CROWN CLASSIC 2008AAU EAST COAST BENCH PRESS CLASSIC 2008 AAU MILITARY NATIONALS FULL POWER 2008 AAU MILITARY NATIONALS BENCH PRESS ENTRY DEADLINE: APRIL 20, 2008
More information2003 AAU JUNIOR OLYMPIC GAMES DanceSport and Salsa ENTRY INSTRUCTIONS
2003 AAU JUNIOR OLYMPIC GAMES DanceSport and Salsa INDIVIDUAL ATHLETE ENTRY FORM ENTRY INSTRUCTIONS ENTRY DEADLINE: Received by Tuesday, July 1, 2003. Late entries will not be accepted. Guaranteed overnight
More informationUNITED STATES AUTO CLUB
UNITED STATES AUTO CLUB 2016.25 MIDGET FAMILY COMPETITION LICENSE APPLICATION FOR ANNUAL FAMILY MEMBERSHIP & AUTHORIZATION FOR PUBLICITY USEAGE ANNUAL RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK
More informationI further acknowledge that I have read and understand the NCAA Concussion Fact Sheet and am aware of the following information:
I, (or hereinafter on behalf of my minor child) ( Participant ), hereby acknowledge that Participant has voluntarily elected to enroll in the Lebanon Valley College Swimming Lesson / Competitive Clinic
More informationIndividual Waiver. PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY
PUEBLO RANGERS Individual Waiver Soccer Club PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY (MUST BE COMPLETED AND PRESENTED AT LEAST 30 MINUTES PRIOR TO YOUR FIRST
More informationCompetitive Swim Instruction Information. Our winter season starts Wednesday, October 12th, February 2017.
Mail to: LVC Sports Center 101 N. College Ave. Annville, PA 17003 Attn: Mary Gardner Competitive Swim Instruction 2 0 1 6-2 0 1 7 Main Desk: 717-867-6360 Website: www.lvc.edu/sportscenter E-mail: gardner@lvc.edu
More informationWAIVER AND ASSUMPTION OF RISK AGREEMENT
WAIVER AND ASSUMPTION OF RISK AGREEMENT Information Note This Note does not form part of the Waiver and Assumption of Risk Agreement. It is intended to give guidance about what you are agreeing to by signing
More informationASSANTE DIRTY DASH FOR REBOUND - 5K MUD RUN RELEASE OF LIABILITY, WAIVER OF CLAIMS AND ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT
ASSANTE DIRTY DASH FOR REBOUND - 5K MUD RUN RELEASE OF LIABILITY, WAIVER OF CLAIMS AND ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT Participant s Name: Age: Date of Birth : (M) (D) (Y) Address: City: Province:
More informationTo officially sign up as a JDRF volunteer, clic k here.
Table of Contents Volunteer Job Descriptions On-Site Check in Process Volunteer Meal Tickets Hotel Discounts and Information Volunteer Waiver WELCOME Our JDRF Ride weekends would not be possible without
More informationANNUAL LAKE ERIE OPEN WATER CLASSIC
Sunday, July 19, 2015 Sanction Number: EVENT INFORMATION EVENTS: There will be ½-Mile, 1-mile and 2-mile swims on a triangular course in Lake Erie. The start will be in the water. The finish will be on
More informationName: Phone: Name/Phone of Emergency Contact:
Vallarta Eats Food Tours Mexican Beer Experience AGREEMENT OF RELEASE & WAIVER OF LIABILITY THIS IS A LEGALLY BINDING DOCUMENT. PLEASE READ CAREFULLY BEFORE JOINING THE TOUR. Name: Email: Phone: Name/Phone
More informationMembership Registration Form
Today s Date: Leeward Judo Club Membership Registration Form Primary Dojo Location (Check box): Pearl City Waipahu Student Information: Name (First, MI, Last) Date of Birth Age Sex Male Female Address
More informationAmerican Federation of Motorcyclists, Inc. LICENSE APPLICATION INSTRUCTIONS
American Federation of Motorcyclists, Inc. LICENSE APPLICATION INSTRUCTIONS Competition: Associate: 1. Application fom1s: READ THIS ENTIRELY BEFORE FILLING OUT ANY PART OF THE APLICATION. Each of the 6
More informationPERMISSION FOR PARTICIPATION IN THE ATHLETICS PROGRAM AT CARDIGAN MOUNTAIN SCHOOL
ATHLETICS PERMISSION FOR PARTICIPATION IN THE ATHLETICS PROGRAM AT CARDIGAN MOUNTAIN SCHOOL STATEMENT OF INFORMED CONSENT, ACKNOWLEDGMENT AND ASSUMPTION OF RISKS AND RELEASE FROM LIABILITY AND INDEMNIFICATION
More information