Tom Perry's Third Annual "Better Together" Community Basketball Tournament
Join us for this year's tournament on May 18th, 2019! REGISTRATION STILL OPEN: It's FREE to register, and you get a FREE t-shirt, FREE food, door prizes, and more! Please complete all of the form below to register.
Participant Name *
Your answer
Name of School You Attend *
Your answer
Age *
Your answer
Date of Birth *
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Grade *
Your answer
Sex *
Street Address *
Your answer
City *
Your answer
ZIP Code *
Your answer
Player Email Address
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Email Address
Your answer
Parent/Guardian Cell Phone # *
Your answer
Player Cell Phone # *
Your answer
Emergency Contact *
Your answer
Emergency Contact Cell Phone # *
Your answer
T-shirt Size *
Insurance/Release Waiver of Liability/Media Release
The undersigned player (or parent or legal guardian of a minor player) states and agrees as follows:
1. The undersigned agrees that the player is voluntarily participating in this basketball tournament and assumes all risks associated with such play.
2. The undersigned acknowledges that there are risks and hazards in playing basketball including, but not limited to, those caused by court conditions, playing conditions, equipment and other participants, in addition to the acts of dribbling, passing, shooting, and dunking a basketball, running, jumping, stretching, sliding, diving, and collisions with other players, spectators, officials, or stationary objects, any of which may cause death or serious injury to the player.
3. In consideration of Newberry College allowing play on the courts owned, operated, or used by Newberry College, I AGREE TO INDEMNIFY AND HOLD HARMLESS AND RELEASE the Newberry County Coalition on Underage Drinking; the City of Newberry Parks, Recreation, and Tourism; Westview Behavioral Health Services; and Newberry College and their officials, employees, agents and assigns from any and all claims, demands, lawsuits, costs and attorney’s fees arising out of playing in the Coalition program listed above. This Release and Indemnification shall be effective and bind any and all heirs, dependents, executors and assigns.
4. I ACKNOWLEDGE THAT I HAVE THE RIGHT AND OBLIGATION TO INSPECT the court and areas surrounding prior to each game and agree to play in the “as is” condition. If I find the court is not safe, I have the right to choose not to play.
5. I agree and give my consent that my photo may be taken and my name may be used in publicizing the Tournament through print, broadcast, and social media outlets, as well as for use in presentations describing Coalition activities.
6. By signing below, I hereby affirm that I have read and fully understand the above and that I agree to the terms and conditions of this Waiver of Liability/Media Release.
Signature of Parent/Guardian *
Your answer
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