COMPETITIVE LEAGUE REGISTRATION FORM
February 6 - 25, 2003 (Tuesdays and Thursdays)
Please print this page. Complete both
the registration information AND the waiver and then mail along with your
check (payable to VOTS) to the following address. If a signed waiver is
not received and/or a check is not included, you will not be included in
the draft and will NOT be permitted to play.
Please include a non-refundable
check for $5 (payable to 'VOTS'). Your registration and waiver MUST be
received by February 1 ... postmarks not honored.
Winter
Competitive League |
|
c/o Tom
Polakis |
121 W. Alameda
Dr. |
Tempe, AZ
85282 |
PLEASE PRINT CLEARLY
Name: |
Contact Phone: |
Address: |
Age: |
City/State/Zip: |
Sex (M/F): |
Rank (see below): |
E-mail (very
important): |
Select any
nights you may miss: [ ] Feb. 6
[ ] Feb. 11 [ ] Feb. 13
[ ] Feb. 18 [ ] Feb. 20
[ ] Feb. 25 (finals) |
Self-rated ranking system.
Please choose an appropriate rank number using the following as
a general guideline.
|
0 |
I don't
really think I'm good enough, but everyone tells me to sign up. |
1 |
I haven't
played competitively for long, but I want to play hard and show my stuff. |
2 |
I know the
'O', and I know the 'D', and I'll find a way to help my team win. |
3 |
Yeah, I
got game. |
4 |
What do
you mean I wasn't your first pick? |
5 |
I'm one
of the five best players in town. |
VALLEY OF THE SUN ("VOTS") ULTIMATE ASSOCIATION WAIVER
& RELEASE FROM LIABILITY
LEAGUE AND TOURNAMENTS
All persons on all teams of VOTS
sanctioned or sponsored events must sign this form prior to the start of
the VOTS event. For VOTS Tournaments, team captains must turn in their
team's completed form(s) to the Event Director or other designated VOTS
representative prior to the commencement of play. For VOTS Leagues, each
player must turn in their completed form along with their registration.
Failure to turn in the form will result in disqualification from the League
or Tournament with a refund of fees paid.
Players, please sign below. If
you are under 18 years of age, your parent/guardian must also sign.
-
I AGREE to abide by the rules of Ultimate
and I ACKNOWLEDGE that my participation in the VOTS sponsored League or
Tournament may be suspended for violations thereof;
-
I WAIVE, RELEASE, & DISCHARGE from
any and all claims or liabilities for death, personal injury, property
damage, theft or damages of any kind which arise out of or relate to my
participation in VOTS sponsored events, whether on or off the field of
play, THE FOLLOWING PERSONS OR ENTITIES: VOTS, its volunteers, committee
members, officials, observers, registered participants, sponsors, advertisers,
owners or lessors of premises and each of their officers, agents and/or
employees;
-
I HEREBY ASSUME FULL RESPONSIBITY FOR
ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE incurred while participating
in the VOTS events. I EXPRESSLY ACKNOWLEDGE AND AGREE that VOTS events/activities
can be dangerous and may involve the risk of serious injury, death and/or
property damage. I ACKNOWLEDGE that the Sport of Ultimate is an extreme
test of a person's physical and mental limits and I CERTIFY that I am physically
fit, have trained sufficiently for participation in Ultimate events and
have not been advised against participation in Ultimate events by a qualified
medical person; and
-
I understand that VOTS does not screen
players for any medical condition beyond each player's self-reporting of
fitness for play; and
-
I EXPRESSLY AGREE that this release /
waiver is intended to be as broad and inclusive as permitted by the law
of the State or Province in which the League or Event is conducted and
that if any portion thereof is held invalid, it is agreed that the balance
shall, notwithstanding, continue in full legal force and effect.
I HAVE READ AND VOLUNTARILY SIGNED THIS
RELEASE AND WAIVER OF LIABILITY and I agree that no oral representations,
statements or inducements apart from this written agreement have been made
to induce my participation in VOTS Events or Activities.
This release / waiver specifically
embraces each and every Event sanctioned, authorized or promoted by the
persons and/or entities mentioned above.
____________________________
|
____________________________
|
_________________
|
Printed Name
|
Signature
|
Date
|
____________________________
|
____________________________
|
_________________
|
Parent's Name (if you are under
18)
|
Parent's Signature
|
Date
|
Please visit http://www.vots.org
or e-mail Tom Polakis for league information.