Minnetonka Fishing Team-2021 Season Registration
Email *
Student Name (First and Last EXACTLY AS IT WILL APPEAR ON JERSEY. Both first and last name will appear on jersey) *
Student Street Address *
City
State *
Zip
Student Birthdate *
MM
/
DD
/
YYYY
Student Grade 2020/2021 School Year *
Student Email *
Student Cell Phone (or parent cell phone if student does not have a cell phone) *
Jersey Size *
Please review jersey size chart carefully before ordering jersey.  Jersey’s run slightly small, bigger is almost always better, as students could be wearing them for up to 2 years!  Please size accordingly.
Please review jersey size chart carefully before ordering jersey. Jersey’s run slightly small, bigger is almost always better, as students could be wearing them for up to 2 years! Please size accordingly.
Parent/Guardian #1 Name *
Parent/Guardian #1 Email *
Parent/Guardian #1 Cell Phone *
Parent/Guardian #2 Name *
Parent/Guardian #2 Email *
Parent/Guardian #2 Cell Phone *
Does your family have a boat in which you are willing to take students fishing in tournaments?
Clear selection
Should we contact Parent/Guardian #1 in case of emergency? *
Should we contact Parent/Guardian #2 in case of emergency? *
Alternate Emergency Contact Name *
Alternate Emergency Contact Relationship to Family? *
Alternate Emergency Contact Cell Phone *
List Student’s known allergies *
Does the student have asthma? *
Does the student have diabetes? *
Does the student have epilepsy? *
List the students medications *
In the event my son/daughter becomes ill or is injured while participating in any Minnetonka Fishing Team tournament, event or activity, I hereby give my consent to team officials or their designees, it’s board members, and officers to authorize the administration of any emergency medical, or dental treatment deemed necessary by a licensed physician or dentist and the transfer of the child to a hospital, clinic or office to obtain treatment. It is understood that reasonable attempts will be made to contact parents, guardians or emergency contacts listed above prior to administration, if reasonably possible. *
Waiver of Liability and Hold Harmless Agreement
WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

(To be completed by parent or legal guardian of Minnetonka Fishing Team participant if team participant is under 18 years of age.)

In consideration for receiving permission to voluntarily participate in the tournaments, events, programs and related activities of the Minnetonka Fishing Team (the “Team”). I hereby release, waive, discharge and indemnify the Team, and it’s participants, Officers, Directors, Coaches, Agents, and Attorneys (“Releasees”) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, injury, or death that may be sustained by me while participating in activities, whether caused by the negligence of the Releasees or otherwise.

I am fully aware of the risks involved and hazards connected with the activities, including the risk of injury, disability, loss or damage to my person or property, or death. I (or my minor child) elect to voluntarily participate in those activities with full knowledge that they are hazardous. I voluntarily assume the risk of loss, property damage, personal injury, and/or death that may be sustained by me or my heirs and assigns as a result of my (or my minor child) engaging in such activities, whether caused by the negligence of Releasees or otherwise.

I further hereby agree to indemnify, defend, and hold harmless the Releasees from any loss, Liability, damage or costs, including court costs and attorney fees, that they may incur due to my (or my minor child) participating in the activities, whether caused by the contributory negligence of Releasees or otherwise.

I understand that the Team does not maintain insurance policy covering liability arising from my (or my minor child’s) participation in the activities. I am aware that I should review my own personal insurance coverage as no such losses or liability will be covered by any insurance carried by the Team.

I understand that this Waiver of Liability and Hold Harmless Agreement binds the members of my family and spouse if I am alive, and my heirs, or personal representative if I am deceased and shall be deemed as a release, waiver, discharge and covenant not to sue the above-named Releasees and as an agreement to indemnify, defend and hold the Team harmless against any claims. This agreement shall be construed in accordance with the laws of the State of Minnesota.

In signing this release, I acknowledge and represent that I have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, I have been made; I am at least eighteen (18) years of age and fully competent; and I execute this release for full, adequate and complete consideration fully intending to be bound by it.

This Waiver of Liability and Hold Harmless Agreement shall remain in effect into perpetuity.

It is necessary to submit this form only one time unless the form is amended.




Acknowledgement
The following YES/NO answer equates to an electronic signature indicating that you accept all components of the Waiver of Liability and Hold Harmless Agreement
We accept the Waiver of Liability and Hold Harmless Agreement *
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