TEAM REGISTRATION FORM

Team Name: _________________________________________________________

________________________________
Team Captain: _______________________________________________________
________________________________
Phone: _____________________________________________________________
________________________________
E-mail Address: _______________________________________________________
________________________________

Player 2 Name: _______________________________________________________

________________________________

Saturday, August 7, 2010 Player 3 Name: _______________________________________________________

________________________________

If we have a lower division would you like to be in it? _______________________

• Games will be played at Catalina High Magnet School

• Check-in begins at 7:30AM. T-Shirts

Shirts
Please mark the sizes for T-Shirts
Shirts as part of your registrations. One T-shirt
T per
• Captains meeting at 7:45AM. registered player. T-Shirts
Shirts will be available at tournament check-in
check desk the day
of the event.
• Tournament Play begins at 8:00AM
S______ M______ L______ XL______
• 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
ad a donation of: $________
• A list of rules will be distributed to team captains before the tournament.

I will not be playing but I would like to make a donation of:
of $________
• Bring own volleyballs
All contributions would be welcomed and appreciated.
• Limit of 20 teams so register early Your contribution may be tax deductable, please contact your
you tax advisor.

• Admission fee for non-competitors

competitors is $5.00 per person over 10 years old. Total Amount Enclosed: $________

• Prizes will be awarded to the winners! Complete application and waiver of liability for all players
and mail a $60.00 non-refundable
refundable contribution to:
• Raffle tickets for great prizes with be sold $1.00 for 1 tickets or $5.00 for 6
tickets. Wiley Herren Memorial Fund
c/o Lynda Gross
• Tournament T-Shirts & Wristband will be available for sale at the 5026 E. Adams St.
tournament! Tucson, AZ 85712

• Questions? Wileyherrenvolleyball@yahoo.com Registration Deadline is July 15, 2010

 Waiver of Liability

Liability waiver and release of all claims:

It is expressly agreed that participation in the Wiley Herren 3rd 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 3rd
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 Memorial 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 3rd 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 3rd Annual
Volleyball Tournament. The Wiley Herren Memorial Fund shall not be responsible for
articles, lost, stolen or damaged during the Wiley Herren 3rd Annual Volleyball
Tournament.

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