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Sports For Sewa: Cricket 2019 - Waiver / Attendance Form
Sports For Sewa: Cricket 2017 @ Lincoln Park, Jersey City - Sep 7th, 8th, 14th & 15th, 2019

We need following information from each player for Liability Waiver and Medical Information in case of any emergency during the event.

Deadline to sign waiver is Aug 31st
The organizers reserve the right to allow/disallow any further registrants. (Sign it by Aug 25th, for FREE T-Shirt*)
Individual Consent, Release & Waiver
1. As the undersigned person, I hereby consent to my participation in the ‘Sports For Sewa - Cricket 2016’ Tournament(the “Event”) conducted by SEWA International USA, Inc. (“SEWA”), as per the rules set out by the organizers.

2. As the undersigned person, I hereby acknowledge that my participation in the Event will include participation in athletic activities, and that participation in such athletic activities may expose me to the risk of bodily injury. Accordingly, I hereby further acknowledge that I have given my consent to my participation in the Event having assumed the risk of bodily injury.

3. As the undersigned person, in the event that I suffer bodily injury while participating in Event, I hereby authorize SEWA International USA, Inc. and its officers, directors, representatives, agents, and volunteers present at the Event to authorize any emergency medical or surgical treatment deemed to be in my best interest if I am otherwise unable to do so. I hereby further agree to assume full responsibility for the payment of all fees and expenses incurred for any such emergency medical or surgical treatment so received by me. The following insurance policy or coverage is available to cover the cost of all fees and expenses incurred for any such emergency medical or surgical treatment so received by me.

4. As the undersigned person, I hereby irrevocably authorize, consent, and give SEWA the right to use, publish, and exploit for any and all advertising, marketing, endorsement, commercial, and trade purposes whatsoever (including but not limited to advertising, promoting, or publicizing SEWA and its services) my name, likeness, portrait, recorded voice, and image, statements made by me, and biographical material (“Materials”). Specifically, I acknowledge that such Materials are being recorded for, among other things, publication on the Internet, and I consent to such use.

5. As the undersigned person, I hereby irrevocably authorize, consent, and give SEWA the right to subscribe my email address to event related or other SEWA mailing lists.

6. As the undersigned person, I hereby agree to RELEASE, INDEMNIFY, AND HOLD HARMLESS SEWA and its officers, directors, representatives, agents, and volunteers (“the Indemnified Parties”) from all claims for damages or injunctive relief arising from or relating to
a) my participation in the Event, including any claim alleging that damages or injuries were caused by the NEGLIGENCE of any of the Indemnified Parties or
b) arising from or relating to the publication or any other use of the Materials, regardless of the nature of such use, including claims for libel, invasion of privacy, or other infringements of personal, property, or proprietary rights of any nature, foreseen or unforeseen.
Consent Form *
You may also read the consent form here (https://goo.gl/vkp0fs)
Required
Personal Information
Your Name *
Your answer
Your Phone Number *
Your answer
Your E-mail *
Please use a unique email. Duplicate entries will be deleted.
Your answer
Your Address
Your answer
Medical Insurance (Company, Member ID, Group Number)
Your answer
Primary Health Care Physician
Provide, Name and Contact Information for your primary physician
Your answer
Can you volunteer for umpiring?
NOT during your game, but during other games. $5 coupon for every game you umpire.
T-Shirt Size
Answering this question authorizes us to share your contact info with the T-Shirt sponsors (if any). In exchange, you get a FREE Tournament T-Shirt - to be picked up during the tournament (provided you signed the waiver by Aug 25th).
Occupational Field *
This survey helps us in attracting more sponsors and getting more FREEBIES
Cricket Team / Category *
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