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ACYS Florida Choice 3v3 Challenge - On-line Application/Roster

 June in Orlando, Florida USA

* information that must be filled out

           *          * 

 

* Team Name    Club Affiliation

 

COACH

*CONTACT Person- MUST HAVE !

FIRST NAME

* FIRST NAME

LAST NAME

* LAST NAME

EMAIL

* EMAIL

ADDRESS

ADDRESS

CITY

   

CITY

STATE

        ZIP

STATE

     ZIP

Phone Number

   Work/Cell

*Phone Number

  Work/Cell

   

CAPTAIN

PLAYER 2

* NAME

* NAME

* T-Shirt SIZE

 

* T-Shirt SIZE

 

BIRTHDATE

       mm-dd-yyyy

BIRTHDATE

     mm-dd-yyyy

ADDRESS

ADDRESS

CITY

CITY

STATE

    ZIP

STATE

  ZIP

GENDER

male       female

GENDER

male       female

EMAIL

EMAIL

       

PLAYER 3

PLAYER 4

* NAME

NAME

* T-Shirt SIZE

 

T-Shirt SIZE

 

BIRTHDATE

     mm-dd-yyyy

BIRTHDATE

     mm-dd-yyyy

ADDRESS

ADDRESS

CITY

CITY

STATE

   ZIP

STATE

  ZIP

GENDER

male       female

GENDER

male       female

EMAIL

EMAIL

       

PLAYER 5

PLAYER 6

NAME

NAME

T-Shirt SIZE

 

T-Shirt SIZE

 

BIRTHDATE

      mm-dd-yyyy

BIRTHDATE

   mm-dd-yyyy

ADDRESS

ADDRESS

CITY

CITY

STATE

  ZIP

STATE

  ZIP

GENDER

 male       female

GENDER

male       female

EMAIL

EMAIL

       
   

I M P O R T A N T  !   PLEASE READ the following ..

Acceptance of Sportsmanship, Responsibility, and Waiver: 

Every player, or parent/guardian if player is under the age of 18,  must read and sign a Waiver Form submitted at or before team check-in.  Signatures on the form signify that each person has read, understands and will abide by this information:    There are risks associated with participation in this tournament and its related activities.  I release and discharge Florida Challenge Sports Events, Inc.,  Event Sponsors, Event Charities (collectively known as event organizers) and the workers, employees and Directors from all action, suits and demands whatsoever in law or in equity, including but not limited to, the risk of personal injury or death from playing in the tournament and the risk of loss of personal property by theft or otherwise.  I acknowledge that medical insurance is not provided. The event organizers are not responsible for any effect participation may have on player eligibility for other sports activities.  I hereby grant permission for event organizers to record any or all of my participation in this event for photos, videos, motion pictures, TV, radio and other media, and to use them, no matter by whom taken, in any matter for publicity, promotions, advertising, trade or commercial purposes without need for any reimbursement or fee paid to me.

 

* I have READ the above and will turn in a Waiver Form (with signatures) for my team prior to the tournament   

 

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