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ALL individual players’ waivers MUST
be submitted at or before team check-in on October 21, 2004.
Contact
your age group coordinator or the tournament registrar if you have
any questions or need directions.
| Age Group: U- ____ | Team Name: |
| Player’s Name: | ___________ Date of Birth |
| Parent’s Name: ______________________________________ |
| Address: _________________________________ |
| City: ___________________ Country ___________ |
| State: _______ Zip: _____________ |
| Home Phone: _______________Work Phone: _______________ Cell Phone: ________________ |
| E-mail: ___________________________________ |
| Name of School Attending:
________________________
State: ____Grade: _____ |
| Emergency Contact:
_______________________
Phone Number: ___________________________ |
|
Please list below any medical conditions and/or allergies
that you think we should know about ____________________________________ |
Tournament Consent and Liability Waiver - Release of all claims (must be signed by parent or guardian) |
|
I,
______________________ am the parent or legal guardian of the player listed above. As lawful consideration for my minor child being permitted to participate in the 2004 AfroCarib Cup or 1st Torneo Internacional, I agree that neither my minor child nor I will make a claim against, sue, attach the property of or prosecute the International Sports Adventure Institute (ISAI) , RED de AfroHeritage Footballers, AfroCarib Cup, 1st Torneo Internacional and their agents, sponsors and employees for damages for death, personal injury or property damage which my minor child may sustain as a result of my child’s participation in this sporting activity. This release is intended to discharge in advance International Sports Adventure Institute (ISAI) , RED de AfroHeritage Footballers, AfroCarib Cup, 1st Torneo Internacional and their agents, sponsors and employees from and against any and all liability, including for negligent actions, arising out of or connected in any way with my minor child’s participation in this sporting activity except for liability that may arise out of the willful or wanton misconduct of International Sports Adventure Institute (ISAI) , RED de AfroHeritage Footballers, AfroCarib Cup, 1st Torneo Internacional and their agents, sponsors and employees. |
| [ ] I FURTHER UNDERSTAND THAT SPORTS INVOLVE PHYSICAL CONTACT BETWEEN PLAYERS, THAT SERIOUS ACCIDENTS OCCASIONALLY OCCUR DURING SUCH SPORTING ACTIVITIES, AND THAT PARTICIPANTS IN SUCH SPORTING ACTIVITIES OCCASIONALLY SUSTAIN SERIOUS PERSONAL INJURIES (INCLUDING DEATH) AND/OR PROPERTY DAMAGE, AS A CONSEQUENCE THEREOF. KNOWING THE RISKS OF PARTICIPATION, NEVERTHELESS, I HEREBY AGREE THAT MY MINOR CHILD AND I ASSUME THOSE RISKS AND RELEASE AND HOLD HARMLESS the INTERNATIONAL SPORTS ADVENTURE INSTITUTE (ISAI), RED DE AFROHERITAGE FOOTBALLERS, AFROCARIB CUP, 1ST TORNEO INTERNACIONAL AND THEIR AGENTS, SPONSORS AND EMPLOYEES WHO (THROUGH NEGLIGENCE OR CARELESSNESS) MIGHT OTHERWISE BE LIABLE TO ME, MY MINOR CHILD (OR OUR HEIRS OR ASSIGNS) FOR DAMAGES. |
|
Signature: _____________________________________ Date: ______________ Print Name: _____________________________________ |
CERTIFIED, REGISTERED MAIL To
ISAI, Inc.
7942 W. Bell Road C5. # 298
Glendale AZ 85308
or to
DHL to
ISAI, Inc. 6013 W. Monte Cristo, Glendale, AZ 85306.
All documents and payments must be sent to ISAI, Inc. 6013 W. Monte Cristo, Glendale, AZ 85306. Send certified check or money order, payable to ISAI to:
ISAI, Inc. 6013 W. Monte Cristo, Glendale, AZ 85306. All required registration forms must be copied, and three copies for each team sent with payment by registered, certified mail to above address. The other option is to send copies of the application by certified, registered mail, or DHL with payment to above address. Because of internet insecurity in many African countries, no applications can be sent by email. ALL APPLICATIONS MUST BE ACCOMPANIED BY PAYMENT. SENDING APPLICATIONS AND PAYMENT BY DHL IS PROBABLY YOUR BEST OPTION.
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