Dodgeball Tournament – 5/3/19

If painting is not your thing, you can play Dodgeball instead. No need to be nervous, for $2.00 you can attend the tourney, sit safely in the stands and cheer on your favorite team! – Lil

WHERE:  Walpole School Gym

WHO:  3-5th graders (4:00) 

  6-8th (5:00) 

  High School-Adult (6:30)

WHEN:  Friday, May 3rd, 2019

    Please register by April 30th

COST:  $5.00/person (6 people/team)

  Coed teams are encouraged.

 

No team? Sign up as a free agent!

Prizes for winning teams!

 

All proceeds to benefit Science Olympiad National Tournament costs.

Walpole School Dodgeball Tournament Waiver and Registration Form

May 3rd, 2019 at Walpole School Gym

 

Participant Name___________________                   Grade______

Phone________________________________            Email:_____________________

Emergency Contact Name:_____________________ Phone:____________________

 

WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTIONS OF RISKS

   

Please read this information carefully and be aware that in signing up and participating in this activity, you will be assuming the risk and legal liability of waiving and releasing all claims for injuries, damages, or loss which you or your minor child might sustain as a result of participating in any and all activities connected with this activity.

    

I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any injuries, damages or loss, regardless of the activity that my minor child or I may sustain as a result of participating in any and all activities. I further agree to waive and relinquish all claims my minor child or I may have as a result of participating in this activity at BFUHS including their staff, officials, volunteers and sponsors. Any and all medical bills associated with injuries resulting from this event are solely the responsibility of the parent/guardian.

 

 

STUDENT NAME: ____________________________

 

PARENT NAME: _____________________________

 

PARENT SIGNATURE or ADULT PLAYING:____________________________________ DATE_____________________

 

 

TEAM NAME: ______________________________

 

Player 1: ____________________________

Player 2: ____________________________

Player 3: ____________________________

Player 4: ____________________________

Player 5: ____________________________

Player 6: ____________________________

 

 

Contact email:  klewis@sau60.orgFAX: 603-756-3433  Attention: Kim Lewis

 Cost:  $5.00/player or $30.00/team.  Please make checks payable to Walpole School, POB 549, Walpole, NH 03608

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