Credit Card # Expiry:

[ ] Visa [ ] Master Card [ ] Debit, Cash or Cheque (pay in person)

Mailing Address:

Team Name:

Captain Phone Number Age E-mail INT

INDOOR VOLLEYBALL ACADEMY

$25 PER PERSON - $10 OFF WITH TOY DONATION

INFO@NORTHBEACHVOLLEYBALL.COM

416-446-0777WWW.NORTHBEACHVOLLEYBALL.COM

ALL PLAYERS REQUIRED TO READ PARTICIPATION WAIVER & INITAIL LAST COLUMN UPON AGREEMENT.

SATURDAYDECEMBER 19/15

4 PM - 10 PM

Credit Card # Expiry:

[ ] Visa [ ] Master Card [ ] Debit, Cash or Cheque (pay in person)

Mailing Address:

Player 2 Phone Number Age E-mail INT

Credit Card # Expiry:

[ ] Visa [ ] Master Card [ ] Debit, Cash or Cheque (pay in person)

Mailing Address:

Player 3 Phone Number Age E-mail INT

Credit Card # Expiry:

[ ] Visa [ ] Master Card [ ] Debit, Cash or Cheque (pay in person)

Mailing Address:

Player 3 Phone Number Age E-mail INT

TOY

TOY

TOY

TOY

To Driv Tournamen

Thank you for your interest in the North Beach / CHUM FM Toy Drive Tournament. To complete your registration a full team payment is required at time of registration. Only players with full payment or payment arrangements are considered for a place in the tournament. Taxes Not Included.

TAXES NOT INCLUDED

INDOOR VOLLEYBALL ACADEMY

INDOOR VOLLEYBALL ACADEMY

PARTICIPATION

WAIVER

In Consideration of my application and to participate as an entrant or competitor of the North Beach Indoor Volleyball Academy Inc. Beach Volleyball Event League/Tournament/Drop-in, Rock Climbing, I, for myself, my heirs, executors, administrator, successor and assigns HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE the North Beach Indoor Volleyball Inc., and all other associations sanctioning bodies and sponsoring companies and all their respective agents, o�cials, servants, contracts, representatives, successors and assigns of and from all claims, demands, damages expenses, costs, actions and causes of actions whether in law or equity in respect of death, injury, loss or damage to my person or property, however caused arising or to arise by reason of my participation in the said event, whether as a spectator, participant or otherwise, whether prior to, during or subsequent to the event and not withstanding that some may have been contributed to or occasioned by the negligence of the aforesaid. I further undertake to hold and save harmless and agree to indemnify all of the aforesaid from and against any and all liability incurred by any or all of them arising as a result of, or in anyway connected with my participation in the said event.

I (we) hereby consent to and permit emergency treatment in the event of injury or illness. I (we) also give full permission for the use of my (our) name(s) and photograph in connection with North Beach Indoor Volleyball Academy Inc. events. By submitting this entry, I ACKNOWLEDGE HAVING READ, UNDERSTOOD AND AGREED TO THE ABOVE WAIVER, RELEASE and INDEMNITY. By electronically initialling I Warrant that I am physically fit to participate and that I HAVE GIVEN consent for this event.

Please have each player initial Registration form in agreement to the above.