ENTRY FEES:
Saturday Nov. 1 2003 9:00am - 11:30 Andy Chong Clinic
Andy Chong Clinic ________ 45
11:45 - 12:45 Kid's age 8-14 Session ... ________________ 10.
1:20 - 2:40 20minute trios + Andy ... ____________ 15./person
Trio member no. 2
Trio member no. 3
If you do not have a preference, please write in request above.
What I would like to learn from the clinic:
Saturday Nov. 1 2003 A/B/C Doubles tourney
12:00noon start Round Robin Doubles Tourney
... First event .... $20./player
Round Robin Doubles A Level
Round Robin Doubles B Level
Round Robin Doubles C level
Please write in 'request' if you need a partner
Round Robin Doubles Partner:
4:30pm start Round Robin Doubles MXD ....2nd event .... $15./player
Round Robin MXD Doubles A
Round Robin MXD Doubles B
Please write in 'request' if you need a partner
MIXED Doubles Partner:
FREE T-Shirt with combined clinic AND tourney entry by Oct 10, 2003 !
T-shirt Size (check one)
Order a T-Shirt only $12.
Tax Deductible donation to the dedicated Badminton facility Project
Amount of contribution:
Please make checks payable to ETC
TOTAL FEES: $
I plan to pay via:
I am sending a check to Arts & Badminton Center (ABC) C/O Eric Miller 125 prospect St. Phoenixville, PA 19460
I will pay by Paypal after I have clicked the registration submit button below
I am paying by cash in person 2 weeks prior to the event.
Entries only valid with received payment!
Comments:
Events may be cancelled and fees refunded if
insufficient entries are received.
WAIVER AND RELEASE OF LIABILITY
NOTE: THIS FORM MUST BE READ AND SIGNED BEFORE THE PARTICIPANT IS PERMITTED TO TAKE PART IN EVENT
SESSIONS. BY SIGNING THIS AGREEMENT, THE PARTICIPANT AFFIRMS HAVING READ IT.
Your e-mail address constitutes a signature, and by completing this box you are effectively signing the form. Invalid e-mails will result in rejected
entries.
Agreement by E-mail signature
IN CONSIDERATION of my involvement in the 2003 Andy Chong Clinic and round robin doubles Registration Form Input(RTCRRD), sonsored by the PBA & Arts and Badminton Facility Project, I acknowledge, appreciate and agree that:
1. I risk bodily injury, including paralysis, dismemberment, disability and death, and while particular rules of the sport, equipment, and discipline may
reduce this risk, this risk of injury does exist, as well as the risk of damage to or loss of property;
2. I knowingly and freely assume all such risk, both known and unknown, even if arising from the negligence of the releasees or others;
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual or unnecessary
hazard during my presence or participation or if I observe any concern in my readiness for participation, I will immediately bring such to the attention of the nearest
official and refrain from participation; and,
4. I, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, hold harmless and promise not to sue the PBA, USA
Badminton, the Arts & Badminton Facility Project Clinic & tournament committee, the Arts Badminton Facility Project, their officers, volunteers, staff, sponsors and/or agents, (releasees) with respect to any and all injury and
loss arising from my participation, whether caused by the negligence of the releasees, the condition of the premises or otherwise, except that which is the result of
gross negligence or wanton misconduct, to the fullest extent permitted by law;
5. I agree to be bound by the rules and regulations of USA Badminton and I hereby stipulate that I am eligible to play in the events for which I am applying
and that I understand that the above mentioned make no representation or warranty with respect to the condition of the premises or the operation of the event;
6. I, hereby grant to Arts & Badminton Facility Project, its licensees and contractees including photographers, televisions and motion picture companies, their affiliates and
subsidiaries, full television and motion picture rights including authority to film or videotape me during matches, narratives, personal interviews, or comment
thereon for any and all commercial, news or other purposes together with the right to transfer or grant their rights to others, all without remuneration or
compensation to me whatsoever.
I have read this Release of Liability and Waiver Agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and
voluntarily without any inducement.
FOR PARTICIPANTS OF MINORITY AGE
This is to certify that I/We as parent(s)/ guardian(s) with legal responsibility for this participant, do consent and agree not only to his/her release, but also for myself, ourselves and my/our child involvement as stated above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
Agreement for Minority Age participants
Parent(s)'s/ Guardian(s)'s Signature(s)
After you click on register,
you will receive a confirmation page in a few moments. Please print or copy it for your records.
After you have REGISTERED above, then click purchase below if you would like to make a payment or contribution.