LIBERTY LIFE CORPORATE GAMES DATE & TIME SATURDAY 14TH OCTOBER 2006 - 09h00 to 16h30 WHAT IS IT? The Liberty Life Games provide a platform for different companies to netw ork and interact on a social level w ith their families, friends and colleagues, a part of our lives we so often tend to forget. The day will also be a family day with lots of activities for the kids to enjoy. ACTIVITIES INCLUDE: 1. 2. 3. 4. 5. 6. 7. 8. 5-A-SIDE SOCCER TOURNAMENT ACTION CRICKET CHALLENGE NETBALL CHALLENGE VOLLEYBALL COMPETITION POOL (DOUBLES ONLY) TABLE TENNIS ( DOUBLES & SINGLES) 2 HR AEROBICS MARATHON 50 METER NAPPY DASH WHAT ELSE? FOOD STALLS, CASTLE CORNER, PONY RIDES, FACE PAINTERS, JUMPING CASTLES, LIBERTY LIFE IDOLS COMPETITION AND COCA COLA ROAD SHOW TRUCK AND OTHER FUN ACTIVITIES THROUGHOUT THE DAY To enter the 5-a-side Soccer Tournament complete the forms below and return them to Interactive Sport on FAX 086 612 1552 CALL 086 111 2010 for more information For information on sporting codes 2 to 8 please contact: Chiquita on (011) 408-3550 or 083 680 2394 or [email protected] 5-A-SIDE SOCCER TOURNAMENT Total Prize Money of R15 000 Plus Other Fantastic Prizes Teams Must Consist Of No More Than 10 Players (incl. Manager and/or Coach) Each Player Receives a T-Shirt and W ater Bottle on the Day COST R1000 PER MEN'S TEAM R700 PER LADIES TEAM Entry Fee is Payable with the entry form to be received by Interactive Sport by no later than 11 t h October 2006. Team Name Company Contact 1 Contact 2 Name Cellphone M ARK ‘X’ FO R SELECTION MEN L ADI ES Email Office No V AT Reg No Name Surname ID Number Cell Email UP TO 10 PL AYERS C AN BE REGISTERED (Format 5-a-side) CLOSING D ATE FOR ENTRI ES: 11 t h October 2006 Fax Back to 086 612 1552 TE AM INDEMNI TY FORM TE AM S WONT BE ALLOWED TO PL AY I F THIS FO RM IS NOT SUBMI TTED I, the undersigned, ______________________________________ (ID Number _____________________) do hereby - 1 warrant that I am duly authori sed to sign for and on behalf of __________________________________________ (“the Company”) and to conclude this indemnity on the Company’s behalf; 2 authorise the participation of __________________________________ (“the Company’s Team”) in the Liberty Life Corporate Games 5-a-side Soccer Tournament ("the Tournament") taking place on the 14th October 2006, to represent the Company in the Tournament; 3 b i n d m y s e l f a s s u r e t y a n d c o - p r i n c i p a l d e b t o r i n s o l i d u m wi t h t h e C o m p a n y a n d t h e Company’s Team, for the due and punctual performance of any and all obligations ( " t h e o b l i g a t i o n s " ) o f t h e C o m p a n y a n d t h e C o m p a n y ’ s T e a m o we d t o I n t e r a c t i v e S p o r t CC (CK number 2002/001032/23) its members, representatives, employees, agents, sponsors, their directors, agents, repr esentatives, sponsors employees and/or any other related parties (collectively, "the Indemnified Parties") arising out of or in c o n n e c t i o n w i t h t h e C o m p a n y T e a m ' s p a r t i c i p a t i o n i n t h e T o u r n a m e n t a s a n d wh e n such obligations arise and/or become due and paya ble including, but not limited to, any fees related to the Company Team's participation in the Tournament; 4 a c k n o wl e d g e a n d a g r e e t h a t wi t h o u t p r e j u d i c e t o a n y o f t h e r i g h t s o f t h e I n d e m n i f i e d Parties at law or in terms of this indemnity, the Company and t he Company's Team (and to the extent permissible, the Company's successors -in-title) hereby irrevocably and unconditionally indemnify and agree to hold the Indemnified Parties harmless against any and all, costs (including costs on the scale as between att orney and own client and any additional legal costs), damages (whether to personal property or o t h e r wi s e ) , l i a b i l i t i e s ( a c t u a l a n d c o n t i n g e n t ) , e x p e n s e s , l o s s e s , i n j u r i e s , c l a i m s , actions and demands of any nature whatsoever howsoever arising, brought agai nst a n y o r a l l o f t h e m a r i s i n g o u t o f o r i n c o n n e c t i o n wi t h t h e C o m p a n y ' s T e a m participation in the Tournament including, but not limited to any accident or other o c c u r r e n c e p u r s u a n t t o a n y n e g l i g e n t o r wi l f u l a c t b y a n y m e m b e r o f t h e C o m p a n y ' s Team or any other party during the entire Tournament; 5 agree that each member of the Company's Team participating in the Tournament agrees to abide by the rules and procedures of the Indemnified Parties; and 6 a c k n o wl e d g e t h a t t e a m s a n d p l a y e r s m a y b e b a n n e d f r o m t h e T o u r n a m e n t , w i t h o u t r e f u n d , w h i c h b a n n i n g s h a l l b e d e t e r m i n e d b y t h e I n d e m n i f i e d P a r t i e s wh o s e d e c i s i o n as to such banning is final and all of whose rights remain fully reserved. Signed and accepted at on 2017 Signed N a m e o f I n d i vi d u a l : Signed and accepted at on for 2017 N a m e o f C o m p a n y: F o r a n d o n b e h a l f o f t h e C o m p a n y, wh o w a r r a n t s t h a t h e i s d u l ya u t h o r i s e d h e r e t o Fax Back to 086 612 1552
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