Bump for Breath * Co-Ed 4's * Volleyball Tournament To Benefit: Friends & Families of Cystic Fibrosis. Team Name: ____________________________________________ E-Mail: _________________________________________ Address: _______________________________________________________________ City/Zip: ________________________ Phone (H) ____________________________ (C) ________________________________ (W) ___________________________ Circle One Tournament Date: Saturday, July 23, 2016 A - Division - (Intended for experienced players) – Saturday, July 23rd R e g istratio n s ta rt s a t 9 :0 0 a .m . / P lay b eg in s at 10:00a.m . B - Division - (Intended for less experienced players) – Saturday, July 23rd Registration starts at 12:00p.m . / Play begins at 1:00p.m . $100 Registration Per Team /**Entry Deadline: July 18th Remit to: Prangley Marks, LLP, Attn: Michelle Ripley, 33 3 Bridge St - Bridgewater Place, Grand Rapids, MI 49504 1. Print Name Signature Shirt Size Email (write clearly please!) 2. Print Name Signature Shirt Size Email (write clearly please!) 3. Print Name Signature Shirt Size Email (write clearly please!) 4. Print Name Signature Shirt Size Email (write clearly please!) To pay via PayPal, please visit: http://events.ffofcf.org/bump/bump.htm. Liability: **Your signature above indicates you read and agree to the liability waiver below** I understand that The Score assum es no responsibility for injuries, which I may sustain as a result of my p h ysica l c o n d itio n o r re s u ltin g fro m m y p a rtic ip a tio n in a n y a th le tic a c tiv itie s , s p o rts p ro g ra m s , th e u s e o f a n y e q u i p m e n t , e x e r c i s e , o r o t h e r a c t i v i t i e s . I e x p r e s s l y a c k n o w l e d g e t h a t I a s s u m e r i s k f o r a n y a n d a l l in ju rie s a n d illn e s s e s th a t m a y re s u lt fro m p a rtic ip a tio n in th e s e a c tiv itie s . In c o n s id e ra tio n o f th e p riv ile g e o f jo in in g , o r u s in g T h e S c o re co u rts, I h e re b y v o lu n ta rily re le a se a n d d isch a rg e T h e S co re , its a g e n ts, s e r v a n t s , a n d employees from any and all claims for injury, death, loss or damage that I may suffer as a result of my p a r t i c i p a t i o n i n t h e s e a c t i v i t i e s . I u n d e r s t a n d T h e S c o r e i s N O T r e s p o n s i b l e f o r p e r s o n a l property lost or stolen while participating or using The Score facilities or on its premises . THE SCORE Restaurant and Sports Bar | 5301 Northland Drive, Grand Rapids -616-301-0600
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