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For more information or questions regarding this event, Please contact Loretta Yu dchilsocial.asu@gmail.com
Delta Chi Lambda 1st Annual Capture the Flag Team Entry Form
TEAM FEE: $24.00 Check or Cash payments accepted before March 9, 2012
Waiver of Liability
I, the undersigned, agree to indemnify, defend and hold harmless the members of Delta Chi Lambda, against any and all damages to event property or injury to, or death of, any person, including property or members of Delta Chi Lambda and from any and all claims, demands, actions, suites, or property of any kind or nature. I assume all risk of injury to my person and property that may be sustained in connection with any activity in and about the premises. I am in good health and have no physical condition that would prevent me from participating. I am familiar with the skills required to participate. I future agree to practice and display good sportsmanship at all times and will abide by the Players Code of Conduct, created by the event coordinator. I have read the Waiver of Liability and fully understand its terms, and conditions and meaning. TEAM NAME: _______________________________________________ Team Captain: ________________________________ ___________________________________ Full Name Signature 1. _____________________________ __________________________ 2. _____________________________ __________________________ 3. _____________________________ __________________________ 4. _____________________________ __________________________ 5. _____________________________ __________________________ ____________________ ____________________ ____________________ ____________________ ____________________ Phone Number E-mail:
Any participant 18 or younger must provide a parent or legal guardian signature Please attach parent signature (s) on the following page with the entry form, upon submission.
I, _____________________________, the team captain, certify that the above information is correct and that I have read and agree to all the rules and regulations of the tournament. Signature: __________________________________ Date: _________________________