Peace Movement 2019 Registration
Sport Tournament Dates: 7/10/2019, 7/19/2019, 7/24/2019, 8/7/2019
Event Address: See Flyer
Contact us at (708) 656-1400 or email ivargasjr@corazoncs.org
Email address *
Participant Information
Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Age *
Your answer
If you are under the age of 18, we may need to contact your parent to verify you have permission to participate in the sport tournaments *
Required
What tournament(s) will you participate in? (Select sport(s) and age bracket)
3 on 3 Basketball Tournament, Wednesday July 10, 2019
Cicero Stadium (1909 S. Laramie Ave) from 10am to 4pm *
Bracket 1 (Ages 12-14)
Bracket 2 (Ages 14-19)
Will not participate
Baskeball (3 players)
Volleyball Tournament, Friday July 19, 2019
"Park," (1808 S. Laramie Ave) from 5pm to 8pm *
Bracket 1 (Ages 13-Up)
Will not participate
Volleyball (6-7 players)
Soccer Tournament, Wednesday July 24, 2019
"The Field," (1808 S. Laramie Ave) from 10am to 8pm *
Bracket 1 (Ages 9-11)
Bracket 2 (Ages 12-14)
Bracket 3 (Ages 14-21)
Will not participate
Soccer (8 players)
Softball Tournament, Wednesday August 7, 2019
Kohlar Field, (37th and 60th Court) from 10am to 4pm
Bracket 1 (Ages 13-Up)
Will not participate
Softball (9-10 players)
Waiver and Liability
I agree that I am voluntarily participating in a series of recreational community events hosted by the Corazón Community Service. Participating in these events involves various levels of physical activity. I acknowledge that participating in any recreational events or any other physical activity while attending this event can be potentially hazardous and may lead to injury, especially if not done correctly. I assume all risks associated with exercising (physical activity such as walking, jogging, running, etc.) including but not limited to: falls, any injury on premises/location, contact with other participants, contact with equipment, the effects of weather, including high heat and/or humidity. Having read this waiver and knowing these conditions. I waive any claims I may have for damages/injuries whether seen or unseen to my person, my guests and my property, including negligence, injury or death, against Corazón Community Services, Corazón Community Services Staff and Board Members, Cicero Park District (Clyde Park), The Town of Cicero, District 99 & 201 Schools, volunteers, other participants, partnering agencies, affiliates or sponsors. By signing this document I authorize Corazón Community Services to use my name and photographs, video, or any other recording during the participation of any Peace Movement 2019 events.I have read and comprehend the risks that are involved with my voluntary participation in this program. I have been advised to submit, at my own expense and time, to a medical examination to ensure myself, and assume my own responsibility of physical fitness and capability to perform under the normal conditions. To the best of my knowledge I am in good physical fitness and comprehend that I am potentially placing my body in harm by participating in physical activities during this event. *
Required
A copy of your responses will be emailed to the address you provided.
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