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Mudz & Suds 2003
Team Entry Forms

Team Name ___________________________
Team Captain _________________________
Address ______________________________
City ________________________________
Prov. _______________________
Phone __________________________
Postal code _____________________

Mail this entry form and $100.00 entry fee to:
Indian Head EMS Association
Box 340 Indian Head, SK SOG 2K0

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 Roster

Team Captain________________________

Player_______________________________

Player_______________________________

Player_______________________________

Player_______________________________

Player_______________________________

Player_______________________________

Player_______________________________

Please read the Rules and Regulations

Email Address:ihemsa@hotmail.com
Telephone Contact Ronny Ball @ 695-3758





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