2nd Annual Oasis Coed Dino 80
Coed Dino 80 Tournament Saturday July 13, 2019 8am start
Coed Dino doubles, players combined age must equal 80+, sideout scoring for all games
Captain's First & Last Name *
Karch Kiraly
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Address *
1234 1st and Strand
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City, State, Zip Code *
(Hermosa Beach, CA, 80000)
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Phone Number *
303-000-0000
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Partner First & Last Name *
Misty May
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Address
4321 1st and Strand
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City, State, Zip Code
Los Angeles, CA, 80000
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TOURNAMENT SELECTION
Dino 80 Captains Birthday
(Bonus Points: 0pt for 80-81yrs old, 1pt for 82-84yrs, 2pts for 85-88yrs, 3pts for 89-92yrs, 4pts for 93-97, 5pts for 98-103yrs, 6pts for 104-110yrs, and 7pts for 111+ yrs old. Oldest team serves first).
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Dino 80 Partner's Birthday
This is for age points
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PAYMENT $70
Tournament format will be pool play followed by an elimination tournament.
Credit Card (VISA, MC, DISC, AMEX) *
INCLUDE DASHES 1111-2222-3333-4444
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Expiration Date *
01/18
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CVV# - Security Code on the Back *
123, 1234 for AMEX
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Waiver & Release (I HAVE READ THIS WAIVER AND RELEASE COMPLETELY AND UNDERSTAND ITS CONTENTS FULLY. I AM SIGNING THIS WAIVER AND RELEASE VOLUNTARILY) *
Manager/Captain/Players/Drop-In Indemnification Agreement: Manager/Captain/Players/Drop-In shall indemnify and hold harmless Volleyball Of The Rockies d.b.a. The Island (hereafter referred to as VOTR) from and against all claims, liabilities, causes of action or other legal proceedings stemming from claims of negligence against VOTR or any other claim in tort or contract, by any Manager or third party whom Manager allows to participate in VOTR activities, for damage to property, injury or death of any person or persons in any way arising out of, connected to, or resulting from Manager allowing that third party or team member to participate in VOTR activities, including playing indoor or outdoor volleyball, in a confined space which might include running into equipment, beach furniture, or other players, as well as, being hit by volleyballs or slipping on a wet surface, without first signing a VOTR Waiver and Release form (such form shall be made immediately available upon request from VOTR Manager). Indemnification shall include the obligation to defend any and all actions, claims, or other legal proceedings and to reimburse VOTR for all expenses, including costs and attorney's fees incurred in connection therewith, regardless of whether such claims arose out of negligence of VOTR, its directors, agents, employees, servants, or assigns. Outside food/beverage is not allowed at the Island/Oasis facilities. Any person introducing alcohol into our facilities will be suspended from all VOTR programming. I grant Volleyball of the Rockies (VOTR) and its subsidiaries, the right to take photographs/video of me in connection with the above-identified event. I authorize VOTR, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that VOTR may use such photographs/video of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.
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Additional Notes
Use this space for any additional information you wish to convey to the tournament directors
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