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AZGV TEAM
REGISTRATION FORM |
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By signing here, I affirm, as captain, that the supplied
information is correct to the best of my knowledge and that all
of the participants have signed this roster in their own
handwriting. |
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TEAM NAME |
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Arizona Gay Volleyball |
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www.AZGV.org |
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Important: Please read the disclosure statement before signing
and completing the form.
I, The undersigned participant, hereby certify that I have
carefully read, fully understand, agree to abide by and consent
to be bound by, all of the terms and provisions of the "Waiver
and Release of All Claims" agreement (on the second page/side)
as well as the Sports Code of Conduct. |
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Sponsor Information |
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SPONSOR |
CONTACT NAME |
PHONE NUMBER |
EMAIL ADDRESS |
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Please list Captain on Line 1 |
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Player Name |
Signature |
DOB |
Phone # |
Email Address |
Date |
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1 |
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2 |
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8 |
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Waiver and Release
of All Claims |
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EACH PLAYER MUST READ THE FOLLOWING STATEMENT BEFORE COMPLETEING
AND/OR SIGNING THE REGISTRATION FORM. |
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In consideration for the privilege to participate in the Arizona
Gay Volleyball Association (AZGV) and its associated events, I
for myself, my heirs, my executors, administrators and assigns
do hereby release, waive and/or forever discharge and and all
rights, claims and causes of action for damages that may be
suffered by me as a result of my preparation for and/or
participation in AZGV contests and related activities.
I recognize and voluntarily accept all risks and hazards
associated with my participation in volleyball, no matter how
remote or unlikely, including the possibility of serious bodily
injury, catastrophic spinal injury, total or partial paralysis,
disfigurement, permanent impairment, and even death. I realize
the causes of such injuries include , but are not limited to
running, falling, tripping or being pushed as well as by the
means of striking or being struck by another participant, a
spectator, game equipment or vehicle. |
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I take full responsibility of my participation in AZGV and for
the level I choose to be involved. I understand and accept that
I am solely responsible for limiting my level of participation,
if necessary, with respect to any physical or mental impairment
I may have. I affirm I have the requisite skills, training
experience and abilities, and I am physically fit to the extent
necessary for my level of participation. I also understand that
I can choose to remove myself from participating in AZGV or its
events at any time.
I do not expect the Arizona Gay Volleyball Association, its
agents, volunteers or officers to coach, manage, instruct or
train me for these activities. I also recognize that it is my
personal responsibility to learn, understand and obey the rules
of volleyball and the rules of AZGV.
I am fully aware and agree that I cannot, in whole or part,
rescind, revoke or otherwise withdraw the foregoing Waiver and
Release of All Claims. I also realize that it will not expire
and that no activity by me shall cause it to be terminated,
extinguished or cancelled in any way. |
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I thoroughly understand that the foregoing Waiver and Release of
All Claims is intended to be as broad and inclusive as is
permitted by the laws of the State of Arizona and that if any
segment or section thereof is ruled to be invalid, not
withstanding that portion, I expressly agree that the balance
shall continue in full force and effect.
I have carefully read this hold-harmless Waiver and Release of
All Claims and fully understand its contents, meaning and effect
as a complete waiver and release of all claims, liability and
indemnity for the Arizona Gay Volleyball Association, its
agents, volunteers and officers.
I hereby subscribe my name in the column for signatures on the
Team Registration Form and by doing so certify that any and all
information supplied therein is correct to the best of my
knowledge. |
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