Kickball Registration

Tournament Details

Dates: Saturday, September 3, 2016 – Sunday, September 4, 2016
Time: 9-5
Location: Rum Creek Park | 1303 Government Circle | Jonesboro, GA 30236
Cost: $20
Registration Deadline: NONE. Can register on site at tournament.

Name:*
Date of Birth:
Sex:*
Email:*
Daytime Phone:*
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Are you a part of a team?*
Team/Coach:
Jersey number (if applicable):
Jersey name (if applicable):
Emergency Contact:*
Emergency Number:*
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Registration Fee:*

PARTICIPATION WAIVER

In CONSIDERATION OF MTS Sickle Cell Foundation, Inc. I, being allowed to participate in any way in the Kick Out Sickle Cell Disease Kickball Tournament (Rum Creek Park) related events and activities, the signed acknowledges, and agrees that:

The risk of injury to myself from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury does exist; and,

-FOR MYSELF, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

-I willingly agree to comply with the program's stated and customary rules and regulations for participation. If I observe any unusual significant concern in my readiness for participation and/or the program itself, I will remove myself from the participation and bring such attention to the nearest official immediately; and,

-I, for myself. HEREBY RELEASE AND HOLD HARMLESS MTS Sickle Cell Foundation, Inc. and Kick Out Sickle Cell Disease Kickball Tournament (Rum Creek Park) its directors, officers, officials, agents employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of premises used to conduct the event ('Releases"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, OR LOSS OR DAMAGE, to person or property incident to my involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT. BY SUBMITTING THIS FORM I AM IN AGREEMENT AND I FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN SUBSTANTIAL RIGHTS BY SIGNING IT. I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

UNDERSTANDING OF RISK
I understand the seriousness of the risks involved in participating in this program, my personal responsibilities for adhering to the rules and regulations and accept them as a participant.

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