liability statement in consideration of acceptance of this entry form, i hereby waive and release...

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LIABILITY STATEMENT In consideration of acceptance of this entry form, I hereby waive and release all rights and claims for damages against MCCS, Schwab Athletics, and Department of Defense or employees or assigns by reason of injury or damage, which I incur, and include any injuries or damages suffered and sustained by members or my entourage or individuals associated with or accompanying me while traveling to and from or participating in this competition. I further agree to have my participation in this competition videotaped and photographed, and I hereby waive and release all rights to said videotapes and photographs to MCCS, Schwab Athletics or Department of Defense for their exclusive use in the illustration and/or depiction of and concerning the athletic events. I agree to abide by all decisions of the designated officials and declare that all the information contained herein is to the best of my knowledge true, correct, and complete. I For More Information Please Call: Schwab Athletics – Sports Specialists Office 625-2654 Robert Gorsky or Joe King EMAIL: [email protected] mccs.org [email protected] mccs.org To Fax Entry Form: 625-2993 Schwab Open Wrestling 27 September 2014 Register By: 1300 on 22 September 2014

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Page 1: LIABILITY STATEMENT In consideration of acceptance of this entry form, I hereby waive and release all rights and claims for damages against MCCS, Schwab

LIABILITY STATEMENT

In consideration of acceptance of this entry form, I hereby waive and release

all rights and claims for damages against MCCS, Schwab Athletics, and

Department of Defense or employees or assigns by reason of injury or

damage, which I incur, and include any injuries or damages suffered and

sustained by members or my entourage or individuals associated with or

accompanying me while traveling to and from or participating in this

competition. I further agree to have my participation in this competition

videotaped and photographed, and I hereby waive and release all rights to said videotapes and photographs to

MCCS, Schwab Athletics or Department of Defense for their

exclusive use in the illustration and/or depiction of and concerning the athletic events. I agree to abide by all decisions of the designated officials and declare

that all the information contained herein is to the best of my knowledge true,

correct, and complete. I have read and understand the contents of this entry

form.

Signature:

Date Submitted: _______________

For More Information Please Call:

Schwab Athletics – Sports Specialists Office

625-2654

Robert Gorsky or

Joe King

EMAIL:

[email protected]

[email protected]

To Fax Entry Form: 625-2993

Schwab Open Wrestling

27 September 2014

Register By:1300 on 22 September

2014

Page 2: LIABILITY STATEMENT In consideration of acceptance of this entry form, I hereby waive and release all rights and claims for damages against MCCS, Schwab

OPEN WRESTLING

Date/Time of Event: Saturday 27 September 2014 @ 1000 Location of Event: Schwab Fitness Center Pre-Registration Deadline: At any MCCS Athletic Facility until 1300 on 22 September 2014. After this date, registration will only be accepted at Schwab Fitness Center until COB 26 September 2014.

Late Registration: 0730-0900 27 September 2014, at Schwab Fitness Center.

Participation Brief: A mandatory brief will be held on 27 September at 0930 inside the gymnasium.

Entry Fee: $10.00 Late Fee: $15.00

Participants: This event is open to participants island wide.

Weigh-Ins: Will be conducted from 0730- 0900. All participants must weigh-in to compete.

FORMAT

Type of Competition: This will be a double elimination tournament. All matches will be free-style.

Rules: FILA WRESTLING rules will apply.

Equipment: Wrestling shoes or sneakers; singlet or t-shirt (NO TANK TOPS) and shorts (NO POCKETS); headgear, kneepads, elbow pads.

Officials: For all bouts, there will be one official per mat. Two officials per mat depending on official’s availability.

Awards: Individual awards will be given to the 1st, 2nd, and 3rd place winners in each weight class.

PARTICIPANT INFO

Name: _________________________________

Unit: __________________________________

Duty Phone: ____________________________

Home Phone: ___________________________

DOB: _________________________________ Weight Class: (circle one)

Division:

110 1bs. 121 lbs.

132 lbs. 145.5 lbs.

163 lbs. 185 lbs.

210 lbs. 210.1-264 lbs.

I do hereby declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation in this event.

Signature_________________________