Arizona State JOAD Indoor Championships - Presented by Corner Archery & Corner Kidz JOAD
Registration Form
Email address *
Registration Information
Saturday, January 5, 2019 and Sunday, January 6, 2019.

Online payment is due at time of registration. A submission acknowledgement popup will appear after you submit your entry at the bottom of this page. The popup contains a link that will direct you to PayPal to pay your registration fee. Entry fee is $45.00 for USA Archery members. There is no late registration entry fee however we encourage you to enter early as space is limited. Registration will close at 9:00pm on December 31, 2018, as to allow our staff to organize lane assignments. There will be NO On-site registration for this event.

Cancellations are subject to a processing fee of $5.00 if processed prior to December 31, 2018.

There are NO REFUNDS after registration closes on December 31, 2018.

*ANY INFORMATION OBTAINED IN THIS FORM IS PROPERTY OF CORNER ARCHERY LLC. AND WILL NOT BE SOLD IN ANY WAY, SHAPE, OR FORM. THE INFORMATION COLLECTED IS THE MINIMUM INFORMATION NECESSARY TO ENTER OUR EVENT AND MAKE SURE YOU ARE COVERED BY INSURANCE.

First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Gender *
Age Division (Select One) *
Equipment Type *
Shooting Time / Session *
Target Selection - 60cm Single Spot Targets are available for Olympic Recurve Bowman, Olympic Recurve Cub, and Barebow / Genesis Division's. ALL OTHER DIVISIONS PLEASE SELECT A 40CM TARGET FACE. *
USA Archery Membership Number *
Your answer
Archery Club (Optional)
Your answer
Equipment Verification *
Required
Special Accommodations (Wheel Chair, Crutches, Etc.) *
Online Payment Information
Online payment is due at time of registration. A submission acknowledgement popup will appear after you submit your entry at the bottom of this page. The popup contains a link that will direct you to PayPal to pay your registration fee. Entry fee is $45.00. There is no late registration entry fee however we encourage you to enter early as space is limited. Registration will close at 9:00pm, December 31, 2018, and there will be NO On-site registration for this event.
Payment *
Waiver
PHOTO RELEASE

Photographs and videos are routinely taken at tournaments by the tournament organizers or sponsors. I release the use of my image for the purposes of recording the tournament events and promoting archery for non-profit purposes by the tournament organizers and Corner Archery LLC. My image may be used on the tournament website, programs or tournament press releases without compensation or additional permission from me. My photo release signature is below.

WAIVER AND RELEASE OF LIABILITY and ASSUMPTION OF RISK. IN CONSIDERATION OF ME BEING ALLOWED TO PARTICIPATE IN ANY WAY IN ANY ("ACTIVITY") WITH CORNER ARCHERY LLC, I AGREE:

1. I UNDERSTAND DANGERS may be caused by my own actions, or inaction’s, the actions or inaction’s of others participating in the Activity, and the condition. I understand the nature of Corner Archery LLC activities and acknowledge my experience and capabilities and believe I am qualified to participate in such Activity. I further acknowledge that I am aware that the activity will be conducted in facilities open to the public during the Activity. I further agree and warrant that if, at any time, I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity.

2. I FULLY UNDERSTAND that:

(a) Corner Archery LLC & USA Archery activities involve risks and dangers of SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH ("Risks");

(b) These Risks in which the Activity takes place or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW;

(c) There may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES incurred as a result of my participation in the Activity.

3. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO HOLD HARMLESS: Corner Archery LLC, USA Archery, their respective administrators, directors, agents, officers, volunteers, and employees, Arizona Game and Fish Department, their respective administrators, directors, agents, officers, volunteers, and the tournament organizers and volunteers, other participants, any sponsors, advertisers, and if applicable, owners and lessors of premises on which the Activity takes place (each considered one of the “Releasees” herein) from all liability, claims, demands, losses, or damages on account caused or alleged to be caused in whole or in part by the negligence of the “Releasees” or otherwise, including negligent rescue operations and further agree that if, despite this release, I, or anyone on my behalf makes a claim against any of the Releasees named above, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND IT’S TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY THE LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

BY CHECKING THE BOX BELOW, AND BY ENTERING MY INITIALS BELOW, I GIVE MY PHOTO RELEASE AND SIGN THE WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT. I ALSO AGREE TO ABIDE BY USAA CODES AND PLEDGES.

***If participant is under 18 years of age, Parent or Guardian must also read waiver and agree with the terms by initialing acceptance below.

Archer Waiver Acknowledgement *
Archers Initials for Waiver Acceptance *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service