2018 Flag Football Tournament- Registration

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2018 Back to School Registration

Gender
- Male
- Female
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Phone*
Email*
Participant Date of Birth*
Date Format: MM slash DD slash YYYY
Age Today*
Uniform Shirt Size*
- S
- M
- L
- XL
- 2XL
- 3XL
Team Name*
If you have no team name enter “FREE AGENT”
Participation Waiver*
First Last
Parent/Guardian Name
First Last
Complete If 17 years of age or younger
Date*
Date Format: MM slash DD slash YYYY
Signature*
PLEASE READ WAIVER AND SIGN ABOVE- Each adult must sign a separate waiver. A parent/ guardian must sign for their children ages 17 and under. I fully understand the nature of the Dinez Merrao Performance Training Event in which I am, or my child is, being enrolled. I understand that there are certain risks associated with this activity and that it is the responsibility of each participant to exercise reasonable care for his/her own safety and that of other participants. I understand that Dinez Merrao Performance Training and its employees, officers, and volunteers are immune from liability for any negligence should I, or my child, suffer any injury while participating in the 2018 Dinez Merrao Back to school flag football tournament. I hereby give my consent to enroll myself, or my child, in the Dinez Merrao Performance Training Event, specifically agreeing and consenting to the following where applicable: 1. I agree to allow photographic images of myself (my child) to be taken and utilized for professional purposes by Dinez Merrao Performance Training. 2. I agree that I will and my child will behave in a sportsmanlike manner, and will not harass, or behave in a negative manner towards any coaches, children, referees or those in attendance at any parks and recreation activity that or my child may be attending or participating in at any time. And, I further understand that I can be removed for such occurrence at the discretion of Dinez Merrao staff, to include myself, my child or those in attendance related to my child’s attendance at any time for said behavior. 3. I agree for my phone, address, and email information to be provided to coaches and/or instructors as necessary as related to the tournament. 4. I have read the refund policies of the camp and understand they are available to review.
Registration Fee*
Price: $30.00