TEST

DIVISION *

PLAYER 1 NAME

PLAYER 2 NAME *

PLAYER 5 GRADE 23-24

PLAYER 3 ADDRESS

PLAYER 1 EMAIL *

PLAYER 3 NAME *

PLAYER 4 NAME

TEAM NAME: *

PLAYER 5 PHONE

WAIVER AGREEMENT *

Every player and their guardian (if player is under 18) must read this waiver form. By pressing submit on the entry form you signify each person has read, understands, and abides by this information. I understand there are risks connected in my participation in this tournament and its related activities. I release, waive, discharge and covenant not to sue Pioneer Days and 3 on 3 staff, event authorities and their workers, employees and directors, from all liability lawsuits and demands whatsoever in law or in equity form demand, losses or damages on account of injury, including death, caused in whole or in part by the negligence of the release otherwise. Further, I hereby grant full permission for event organizers to record any or all of my participation in this event for photos, motion picture, TV, radio recording, videotapes, and other media form or unknown, and to use them, no matter by whom taken, in any matter, publicity promotions, advertising trade, or commercial purposes, without any reimbursement or fee of any kind due to me. Players’ eligibility for NCAA, collegiate sports and local school districts vary. The event organizers are not responsible for determining each player’s eligibility. Contact your coach or athletic director before registering to find out how your eligibility would be effected, if at all, by registering for this tournament.

PLAYER 2 PHONE

PLAYER 4 ADDRESS

PLAYER 2 ADDRESS

PLAYER 5 EMAIL

PLAYER 2 SHIRT SIZE *

PLAYER 2 EMAIL

PLAYER 4 SHIRT SIZE

PLAYER 5 NAME

PLAYER 4 PHONE

PLAYER 2 GRADE 23-24 *

PLAYER 1 ADDRESS

PLAYER 4 EMAIL

Player 1 Phone *

PLAYER 1 GRADE IN 23-24 *

PLAYER 3 GRADE 23-24 *

PLAYER 3 SHIRT SIZE *

PLAYER 5 SHIRT SIZE

PLAYER 1 SHIRT SIZE *

PLAYER 3 PHONE

PLAYER 3 EMAIL

PLAYER 5 ADDRESS

PLAYER 4 GRADE 23-24