TEAM REGISTRATION FORM

________________________________________________________
Team Name: ________________________________
Team Captain: ________________________________
_______________________________________________________
Phone: ________________________________
_____________________________________________________________
E-mail Address: ________________________________
______________________________________________________

______________________________________________________
Player 1 Name: ________________________________
Sunday, December 6th, 2009 Player 2 Name: ________________________________
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• Games will be played at Catalina High Magnet School T-Shirts

Shirts
Please mark the sizes for T-Shirts
Shirts as part of your registrations. One TT-shirt per
• Registration begins at 7:30 AM registered player. T-Shirts
Shirts will be available at tournament check
check-in desk the day
of the event. Additional T-Shirts
Shirts will be available for $10.00.
• Captains meeting at 7:45 AM
S______ M______ L______ XL______
• Tournament play begins at 8:00 AM

• Reverse Co-Ed Triples – All Teams must have a least 1 guy & 1 girl.
In addition to my team fees, I would like to add a donation of: $___________

• A list of rules will be distributed to team captains before the
I will not be playing but I would like to make a donation of: $$___________
tournament.
All Contributions are welcome and appreciated.
• Bring own volleyballs Your contribution may be Tax Deductible. – Please consult your tax advisor.

• Limit of 20 teams, so register early!

TOTAL AMOUNT ENCLOSED: $___________
• competitors is $5.00 per person over 10 years old
Admission fee for non-competitors

• Prizes will be awarded to the winners! Complete application and waiver of liability for all players and mail a
$45.00 non-refundable
refundable contribution to:
• Questions? wileyherrenvolleyball@yahoo.com
Wiley Herren Memorial Fund
c/o Lynda Gross
5026 E. Adams St.
Tucson, AZ 85712

Registration deadline is November 21st, 2009

 Waiver of Liability
Liability waiver and release of all claims:

It is expressly agreed that participation in the Wiley Herren 2nd Annual Volleyball Tournament
event shall be undertaken at the sole risk of the undersigned and that the Wiley Herren
Memorial Fund shall not be subject to any claim, demand, or for any losses, damage, injury or
death caused to any individual, individual’s family or guest, from any causes whatsoever.
This includes injury or damage caused by negligence, gross negligence and/or intentional
acts.

Every individual for himself/herself and on behalf of his/her spouse, children, guest,
executors, administrators, successors and assigns, does hereby expressly forever release and
discharge the Wiley Herren Memorial Fund and the Wiley Herren 2nd Annual Volleyball
Tournament, their agents, employees, successors, and assigns for all such claims, demands,
injuries, rights or cause of actions.

It is further agreed that as a participant in the Wiley Herren 2nd Annual Volleyball Tournament
the undersigned, and the undersigned’s minor children, knowingly and voluntarily assume
any and all risks associated with our participation in this event and agree to abide by all the
regulations established by the Wiley Herren 2nd Annual Volleyball Tournament.

Undersigned, for himself and for his minors, further waives the right to bring any claim
against the Wiley Herren Memorial Fund, their officials, volunteers, agents or employees for
loss of life, bodily injuries, property damage and/or loss, or personal loss that may be
sustained as a result of participating in the Wiley Herren 2nd Annual Volleyball Tournament.
The Wiley Herren Memorial Fund shall not be responsible for articles, lost, stolen or damaged
during the Wiley Herren 2nd Annual Volleyball Tournament.

Signature_____________________________________________ Date:______________
(Guardian signature if participant is under 18 years of age.)