Individual Entry Fee
City ________________ State ______ Zip _______
FOUR MAN TEAM NAME
have read and understand the rules and waive and release all other
contestants, the host, and tournament officials from all claims of personal
injuries, accidents and/or damaged, lost, or stolen property incurred in
connection with the tournament.
THE FOLLOWING TO BE FILLED OUT BY A PARENT OR GUARDIAN OF PERSON UNDER 16 ENTERING THE TOURNAMENT:
As parent or guardian of the above mentioned youth who is under 16 years of age, I hereby consent to his/her submitting to a polygraph test should he/she qualify for one of the prizes. I hereby grant permission to the tournament sponsors, and their agents, the right to publicize, video tape, photograph, and/or broadcast his/her name, character likeness or voice, and the fact that he/she was a participant and/or prize winner, and all other matters incidental thereto.