Broomfield Coed 4x4 Summer Grass League 2019
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1st week of league - May 21st, May 22nd & May 23rd
Last week of league - July 23rd, 24th & 25th
Tuesday, Wednesday & Thursday Night Coed 4x4 Grass League
Highland Park South
8 weeks with a BONUS 9th week!
Which Night would you like to play?
Pick the night that works best for your team. Please select your 1st preference.
What is Your Second Choice for Night?
This is your 2nd choice of night in case the league fills up or one night doesn't work out because of numbers.
What is your team level *
Rate as a team,
Required
Captain's Full Name *
Your answer
Your answer
Captain's St. Address *
Your answer
Captain's City *
Your answer
Captain's State *
Your answer
Captain's Zip Code *
Your answer
Captain's Cell Phone Number *
303-000-0000
Your answer
Player 1 Information *
First and last name, email and phone number
Your answer
Player 2 Information *
First and last name, email and phone number
Your answer
Player 3 Information *
First and last name, email and phone number
Your answer
Player 4 Information
First and last name, email and phone number
Your answer
Player 5 Information
First and last name, email and phone number
Your answer
Payment $320
8 Week League with a BONUS 9th week
This league will start the week of May 21st
How are you going to pay? *
If you choose credit card please fill out your information below. If you fail to fill out your information it may result in a late fee. If you are paying cash or check please contact Devan Pilarski to go over details on paying.
Required
Credit Card Number (Check or Cash not accepted online)
xxxx-xxxx-xxxx-xxxx
Your answer
Credit Card Exp Date
xx/xx
Your answer
CVV #
3 digit code, 4 digit for AMEX
Your answer
Any extra information that you would like to convey to us please write below.
Please write in anything extra about your registration
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 Oasis (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
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