Volleyball Tournament Registration

Volleyball Tournament REGISTRATION FORMS June 20th, 2009 NAME: _____________________________________________________________ AGE: ____________________ YEARS OF VOLLEYBALL EXPERIENCE: ______________ HOW DID YOU FIND OUT ABOUT THIS TOURNAMENT (ie the person who invited you): ________________________________________________ EMERGENCY CONTACT AND RELATION: ___________________________ EMERGENCY PHONE NUMBER: ____________________________ I ____________________________ (print your name), being the _____________________ (relationship to the participant e.g., father, mother, etc.) have custodial authority over ____________________________ (participant’s name, hereinafter referred to as “participant”) and give permission for the participant to play in the volleyball tournament that will be held at St. Gregorios Malankara Orthodox Church in Rochester Hills on June 20th, 2009. I understand and am fully aware that there are risks associated with the participant’s involvement in this tournament. However, I and all of my agents, assignees or designees will not hold the MGOCSM, St. Gregorios Malankara Orthodox Church, and/or any of its agents, assignees or designees responsible for any actions due to the participant’s activities related to playing in this tournament. I understand that this is a full release and waiver of rights due to the participant’s activities related to playing in the volleyball tournament. X ________________________________ Signature (parent/guardian signature if under 18) _______________________ Date