Team Name ___________________________ Team Captain _________________________ Address ______________________________ City ________________________________ Prov. _______________________ Phone __________________________ Postal code _____________________ Mail this entry form and $100.00 entry fee to:
Please have each of the players on your team read the following paragraph and sign below. I hereby certify that I am a voluntary participant in the Mud Volleyball Tournament; that I realize said program is being offered to me, knowing full well that I may attend and participate in any activities conducted by said program or not, as I myself decide. I further certify that I hereby release and forever hold harmless from any claim, cause or suit against the Indian Head EMS Association and all sponsors and/or parents or employees, which may out of participation in said program. I assume all physical risks inherent therein. I have read the foregoing release and waiver and do clearly understand the same. I have also read the foregoing release and waiver to the team, and they do clearly understand the same. Team Captain assumes all responsibility for players named and/or unnamed. Team Captain________________________ Email Address:ihemsa@hotmail.com
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