Team Registration Form
Team Registration Form Team name:
Division: 4th/5th/6th
Boys
Girls
I
Grade
9th/10th Grade Adult
Grade
11th/12th Grade
PLAYER 2
Name:
Name:
Address:
Address:
School:
School:
Grade/Age:
Grade/Age:
Phone:
Phone:
Email:
Email: XXL
Mail Payment & Entry Form To: XXL
PLAYER 4
Name:
Name:
Address:
Address:
School:
School:
Grade/Age:
Grade/Age:
Phone:
Phone:
Email:
Email: XXL
Registration: $40.00 per team. Must submit by April 21th, 2016 Team Check-in: Saturday, April 23, 2016 at 8:00 am. All players will receive tournament t-shirts at check-in. Team brackets will be provided at check-in. EVERY PLAYER MUST SUBMIT A SIGNED WAIVER.
T-Shirt Size: (Please Circle) Small Medium Large X-Large
PLAYER 3
T-Shirt Size: (Please Circle) Small Medium Large X-Large
Tournament: Saturday, April 23, 2016 at 9:00 am at Hot Springs’ Case and Bison Auditoriums Hot Springs High School 1609 University Ave Hot Springs, SD 57747
If your team members span more than one grade, your team will be placed into the oldest team member division.
CAPTAIN
T-Shirt Size: (Please Circle) Small Medium Large X-Large
7th/8th
T-Shirt Size: (Please Circle) Small Medium Large X-Large
PO Box 109 Hot Springs, SD 57747
Questions? Call: Jessica Noteboom, Resource Development Director Club Office: 605-745-8000 Cell Phone: 507-829-2305 Email: [email protected] Aaron Noteboom, Tournament Volunteer [email protected] XXL
www.bgcblackhills.org | www.facebook.com/bgcblackhills
Player Release and Waiver Form EACH PLAYER MUST SUBMIT A SIGNED WAIVER WITH HIS/HER TEAM REGISTRATION Tournament: Saturday, April 23, 2016 at 9:00 am at Hot Springs’ Case and Bison Auditoriums Registration: $40.00 per team. Must submit by April 21st, 2016 Team Check-in: Saturday, April 23, 2016 at 8:00 am. Mail Payment & Entry Form To: Boys & Girls Club, PO Box 109, Hot Springs, SD 57747 WAIVER: Every player’s parent or guardian must read and sign this waiver form. Signatures on this form signify each person has read, understands and abides by this information. By signing this Liability and Media Release Waiver, the individual player named below wishes to participate in the event described above and recognizes that there are risks of damage or injury arising from participation in this event or from other activities that may be associated with participation in this event. Signature represents that the below individual has no health or physical problems that will interfere with the participation in the tournament and she/he is responsible for their own safety. A signature releases and discharges Boys & Girls Club of the Black Hills, Hot Springs School District, sponsors and volunteers from all actions, suits and demands in law or in equity, including but not limited to, the risk of injury from playing in the tournament.
__________________________________ ___________________________ ___________________________ ______________________ Player Name (Print) Team Name Division Date ________________________________ Parent/Guardian Name (Print)
________________________________________ _____________________________________ Parent/Guardian Signature Email Address
Player Release and Waiver Form EACH PLAYER MUST SUBMIT A SIGNED WAIVER WITH HIS/HER TEAM REGISTRATION Tournament: Saturday, April 23, 2016 at 9:00 am at Hot Springs’ Case and Bison Auditoriums Registration: $40.00 per team. Must submit by April 21st, 2016 Team Check-in: Saturday, April 23, 2016 at 8:00 am. Mail Payment & Entry Form To: Boys & Girls Club, PO Box 109, Hot Springs, SD 57747 WAIVER: Every player’s parent or guardian must read and sign this waiver form. Signatures on this form signify each person has read, understands and abides by this information. By signing this Liability and Media Release Waiver, the individual player named below wishes to participate in the event described above and recognizes that there are risks of damage or injury arising from participation in this event or from other activities that may be associated with participation in this event. Signature represents that the below individual has no health or physical problems that will interfere with the participation in the tournament and she/he is responsible for their own safety. A signature releases and discharges Boys & Girls Club of the Black Hills, Hot Springs School District, sponsors and volunteers from all actions, suits and demands in law or in equity, including but not limited to, the risk of injury from playing in the tournament.
__________________________________ ___________________________ ___________________________ ______________________ Player Name (Print) Team Name Division Date ________________________________ Parent/Guardian Name (Print)
________________________________________ _____________________________________ Parent/Guardian Signature Email Address
Division: 4th/5th/6th
Boys
Girls
I
Grade
9th/10th Grade Adult
Grade
11th/12th Grade
PLAYER 2
Name:
Name:
Address:
Address:
School:
School:
Grade/Age:
Grade/Age:
Phone:
Phone:
Email:
Email: XXL
Mail Payment & Entry Form To: XXL
PLAYER 4
Name:
Name:
Address:
Address:
School:
School:
Grade/Age:
Grade/Age:
Phone:
Phone:
Email:
Email: XXL
Registration: $40.00 per team. Must submit by April 21th, 2016 Team Check-in: Saturday, April 23, 2016 at 8:00 am. All players will receive tournament t-shirts at check-in. Team brackets will be provided at check-in. EVERY PLAYER MUST SUBMIT A SIGNED WAIVER.
T-Shirt Size: (Please Circle) Small Medium Large X-Large
PLAYER 3
T-Shirt Size: (Please Circle) Small Medium Large X-Large
Tournament: Saturday, April 23, 2016 at 9:00 am at Hot Springs’ Case and Bison Auditoriums Hot Springs High School 1609 University Ave Hot Springs, SD 57747
If your team members span more than one grade, your team will be placed into the oldest team member division.
CAPTAIN
T-Shirt Size: (Please Circle) Small Medium Large X-Large
7th/8th
T-Shirt Size: (Please Circle) Small Medium Large X-Large
PO Box 109 Hot Springs, SD 57747
Questions? Call: Jessica Noteboom, Resource Development Director Club Office: 605-745-8000 Cell Phone: 507-829-2305 Email: [email protected] Aaron Noteboom, Tournament Volunteer [email protected] XXL
www.bgcblackhills.org | www.facebook.com/bgcblackhills
Player Release and Waiver Form EACH PLAYER MUST SUBMIT A SIGNED WAIVER WITH HIS/HER TEAM REGISTRATION Tournament: Saturday, April 23, 2016 at 9:00 am at Hot Springs’ Case and Bison Auditoriums Registration: $40.00 per team. Must submit by April 21st, 2016 Team Check-in: Saturday, April 23, 2016 at 8:00 am. Mail Payment & Entry Form To: Boys & Girls Club, PO Box 109, Hot Springs, SD 57747 WAIVER: Every player’s parent or guardian must read and sign this waiver form. Signatures on this form signify each person has read, understands and abides by this information. By signing this Liability and Media Release Waiver, the individual player named below wishes to participate in the event described above and recognizes that there are risks of damage or injury arising from participation in this event or from other activities that may be associated with participation in this event. Signature represents that the below individual has no health or physical problems that will interfere with the participation in the tournament and she/he is responsible for their own safety. A signature releases and discharges Boys & Girls Club of the Black Hills, Hot Springs School District, sponsors and volunteers from all actions, suits and demands in law or in equity, including but not limited to, the risk of injury from playing in the tournament.
__________________________________ ___________________________ ___________________________ ______________________ Player Name (Print) Team Name Division Date ________________________________ Parent/Guardian Name (Print)
________________________________________ _____________________________________ Parent/Guardian Signature Email Address
Player Release and Waiver Form EACH PLAYER MUST SUBMIT A SIGNED WAIVER WITH HIS/HER TEAM REGISTRATION Tournament: Saturday, April 23, 2016 at 9:00 am at Hot Springs’ Case and Bison Auditoriums Registration: $40.00 per team. Must submit by April 21st, 2016 Team Check-in: Saturday, April 23, 2016 at 8:00 am. Mail Payment & Entry Form To: Boys & Girls Club, PO Box 109, Hot Springs, SD 57747 WAIVER: Every player’s parent or guardian must read and sign this waiver form. Signatures on this form signify each person has read, understands and abides by this information. By signing this Liability and Media Release Waiver, the individual player named below wishes to participate in the event described above and recognizes that there are risks of damage or injury arising from participation in this event or from other activities that may be associated with participation in this event. Signature represents that the below individual has no health or physical problems that will interfere with the participation in the tournament and she/he is responsible for their own safety. A signature releases and discharges Boys & Girls Club of the Black Hills, Hot Springs School District, sponsors and volunteers from all actions, suits and demands in law or in equity, including but not limited to, the risk of injury from playing in the tournament.
__________________________________ ___________________________ ___________________________ ______________________ Player Name (Print) Team Name Division Date ________________________________ Parent/Guardian Name (Print)
________________________________________ _____________________________________ Parent/Guardian Signature Email Address
