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3-On-3 Tournament Entry Form

TEAM NAME
JERSEY COLORS
Contact Person
Roster and Participation Agreement
In consideration of being allowed to participate, each participant and their legal representative, waive all claims for injury, accident or loss of any kind and hereby release TTBBO, all tournament sites, sponsoring organizations, and their employees, members and representatives from any claims or liability. As further consideration to participation, each participant and their legal representative consents to TTBBO taking photographs and video of participants at event sites, and TTBBO retains the right to use any such video or photographs for publicity and advertising. This Agreement shall apply and extend to any and all events of TTBBO held from November 1, 2010 through July 31, 2011.
TTBBO WAIVER INFORMATION
In consideration of permitting the above named participant(s) to enroll in and participate in practices, leagues, tournaments, camps and clinics, outings and fundraising events sponsored by TTBBO, the Undersigned hereby voluntarily releases, discharges, waives and relinquishes any and all actions or causes of action for personal injury (including death) or property damage occurring to him/herself arising in the event of accident or injury to myself, my spouse or any child of mine (specifically including my child named above as the "Participant") or in the event of illness of myself, my spouse or any child of mine while in, on or about the premises of the TTBBO Events, or while participating in any activity sponsored by or under the auspices of the TTBBO under circumstances where I am physically unable to consent or am not present:

1. I hereby voluntarily consent to the furnishing to my said children of such medical care, attention and treatment by any hospital, physician or physicians as such hospital, physician or physicians may deem necessary or advisable.

2. I authorize any officer or member of the TTBBO to consent to such medical care, attention or treatment.

3. I agree to pay the reasonable cost of such medical care, attention or treatment and to indemnify and hold free and harmless of and from any and all liability for such cost the TTBBO and its officers and members thereof.

The Undersigned has read this document and is fully aware of the legal consequences of signing it. I, as the parent or guardian of the participant, acknowledge that I have read this Waiver, Release, Assumption of Risk and Indemnity Agreement and sign it on behalf of the participant with full knowledge and understanding of its contents.
Signature:
Date:
 

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