King of the Beach Top 24 All Stars
Saturday December 29th @ The Island 12:30pm Start. Entry Fee: $50.

Must be ranked in the top 24 of the Winter Beach Series registrants to play (power rank not grand prix points) and have played at least one Winter Beach Series event in 2018 (January, February, March, April, October, November, or December 2018).

Payout:

1st $300
2nd $175
3rd $125
4th $100
5th $75
9th $50
13th $40
17th Ball
21st Ball

Player's Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone # *
Your answer
Player's EMAIL *
queenofthebeach#1@example.com
Your answer
Payment Method *
Credit Card Number (if selected above)
1234-5678-9012-3456
Your answer
Credit Card Exp Date
xx/xx
Your answer
CVV #
3 digit code, 4 digit for AMEX
Your answer
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 participates 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, 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 in the foot wash area while at the Island, 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.
Required
Additional Notes
Use this space for any additional information
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service