Pre-Game Field Pass Request Form

Pre-Game Field Pass Request Form
A Pre-game Field Pass is your chance to get an up-close and personal look at Wake Forest Football. Only available to Deacon Club
members, the Pre-game Field Pass offers sideline access prior to kick-off at home football games. Take advantage of this unique
opportunity to enhance your game-day experience at BB&T Field!
The Deacon Club will issue a limited number of Pre-Game Field Passes for each home game.
Pre-Game Field Level Pass Requirements
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Active Deacon Club membership to qualify.
Limit of 2 passes per Deacon Club membership.
Pass holders can report up to an hour and a half prior to kick-off and will have sideline access in a designated area until 30
minutes before game-time.
If demand exceeds availability, Pre-Game passes will be assigned based on rank within giving level.
Limit of one game per Deacon Club membership.
Rules and Regulations:
• Anyone under the age of 16, MUST be accompanied by an adult (1 adult: 1 child ratio).
• Adults accompanying children under the age of 16 assume all responsibility for the safety and actions of the child under their
supervision and agree to indemnify and hold harmless the ACC, Wake Forest Athletics, and Wake Forest University from and
against any and all claims arising out of any act of the child while on the field.
• No interaction with visiting team, home team, coaches, staff or officials.
• Stay in designated area in front of the temporary bleachers.
• Pass holders dressed in the opposing team’s colors will not be permitted on the field.
• Behave in a manner adhering to Wake Forest’s dedication to sportsmanship and our family atmosphere.
• No food or drinks can be brought onto the field.
• Cannot be intoxicated while on the field.
• Assume all risk of harm while on the field and agree to indemnify and hold harmless the ACC, Wake Forest Athletics, and
Wake Forest University from and against any and all claims arising out of any act.
• Wake Forest has the right to revoke the privileges of the pass at any time.
For office use only:
Donor #: _______________
Name: ___________________________________________________________________
Donor #: __________________
Mailing Address:_____________________________________________________________
Giving Level: ______________
City:___________________________ State:________________ Zip:___________________
Rank: ____________________
Telephone (Home):______________________(Business)_____________________________
Fax:____________________________ Email Address:_______________________________
Please indicate your first three choices in priority order by numbering 1, 2 or 3.
______ September 6 – Gardner-Webb
______ October 25 – Boston College
______ September 20 – Army
______ November 6 – Clemson
______ October 18 – Syracuse
______ November 22 – Virginia Tech
Game Assigned:
___ 9/6 – Gardner-Webb
___ 9/20 – Army
___ 10/18 – Syracuse
___ 10/25 – Boston College
___ 11/6 – Clemson
___ 11/22 – Virginia Tech
___Wait listed
# of passes needed: 1 or 2 (please circle)
Name of pass-holder #1: _____________________________________ Over age 16? ___ Yes ___ No
Name of pass-holder #2: _____________________________________ Over age 16? ___ Yes ___ No
Signature ______________________________________________
Date____________________
(By signing, you are acknowledging that you have read and agree to all requirements, rules & regulations.)
Registration forms must be mailed, emailed or faxed to the Deacon Club by Monday, July 28, 2014.
Wake Forest Deacon Club
499 Deacon Blvd • Winston-Salem, NC 27105