Beast of the East 2015 Flyer With Reg
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Transcript of Beast of the East 2015 Flyer With Reg
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July 18th and 19th
Registration Deadline July 10, 2015 Tournament Director: Dan Hurt 937-515-2196
Or Email: [email protected]
Visit us on Facebook @ BeastOfTheEast3v3SoccerTournament2015
Location of event: Western Brown High School, 524 West Main Street, Mt. Orab, Ohio 45154
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BEAST OF THE EAST 2015 / 3v3 SOCCER TOURNAMENT / REGISTRATION FORM
Team Name: Age Divisions (Please Mark)
Gender: Male Female Co-ed U6 Aug. 1, 2009 - July 31, 2010
Coachs Name: U7 Aug. 1, 2008 - July 31, 2009
Coachs Phone #: U8 Aug. 1, 2007 - July 31, 2008
Coachs Email: U9 Aug. 1, 2006 - July 31, 2007
Coachs Address: U10 Aug. 1, 2005 - July 31, 2006
U11 Aug. 1, 2004 - July 31, 2005
Please Mark(All Divisions) U12 Aug. 1, 2003 - July 31, 2004
Competitive Upper Lower Recreational U13/14 Aug. 1, 2001 - July 31, 2003
U15/16 Aug. 1, 2003 July 31, 2005
U17/18 Aug. 1, 2005 July 31, 2007
Adult 18 and over
Players
Player 1 Player 2 Player 3
Name:
Address:
Phone:
DOB Age Gender DOB Age Gender DOB Age Gender
Parent Signature:
Shirt Size* SM Med LG XL XXL SM Med LG XL XXL SM Med LG XL XXL
Player 4 Player 5
Name:
Address:
Phone:
DOB Age Gender DOB Age Gender
Parent Signature
Shirt Size* SM Med LG XL XXL SM Med LG XL XXL
* There will be an additional charge of $12.00 for each shirt PLEASE READ THIS CAREFULLY AND BE AWARE THAT IN SIGNING UP AND PARTICIPATION IN THIS TOURNAMENT, YOU WILL BE EXPRESSLY ASSUMING
THE RISK, LIABILITY, WAITING AND RELEASING ALL CLAIMS FROM INJURIES, DAMAGES OR LOSS YOU OR YOUR CHILD MIGHT SUSTAIN.
I DO HERBY FULLY RELEASE AND FOREVER DISCHARGE BEAST OF THE EAST SOCCER TOURNAMENT 2015, FORM ANY AND ALL CLAIMS FOR INJURIES, DAMAGES AND LOSS THAT MY CHILD OR I MAY HAVE OR WHICH MAY OCCUR TO ME OR MY CHILD AND ARISING OUT OF, CONNECTED WITH, OR IN ANY WAY ASSOCIATED WITH THIS TOURNAMENT.