Check it out! - Epilepsy Foundation of Connecticut

28th ANNUAL MUD VOLLEYBALL TOURNAMENT
TEAM REGISTRATION & ENTRY FORM
To enter the tournament, please complete the entry form below and return it with your check for $250.00 Before July 11th; $275.00 after July 12th. It is $325.00 on the day of the event.
Mail Completed Forms to: The Epilepsy Foundation of Connecticut, Inc. - 386 Main Street - Middletown, Connecticut 06457- 3360
How did you hear about Mud Volleyball?
WCCC Facebook Played Before Friend
TEAM NAME we reserve the right
EFCT Website
to request a name change
We hereby agree to indemnify, and hold harmless the Epilepsy Foundation of Connecticut, Inc., radio
station 106.9 WCCC, the Town of Middletown, and other sponsors from and against any and all
liability claims of liability, causes of action, expenses (including attorney’s fees), and loss or damage
whatsoever relating to the Mud Volleyball Tournament taking place August 16th, 2014, regardless of
whether any such injury to or death of persons or damages or destruction of property is due or
claimed due to any negligence or fault of the aforesaid parties, their directors, officers, employees,
agents or invitees. We hereby consent to the use of any photographs or videos taken by the Epilepsy
Foundation of Connecticut, 106.9 WCCC, and other sponsors on the day of the event in its
promotional or fundraising materials, or for use on their websites.
TEAM CAPTAIN
TEAM ROSTER (MUST BE COMPLETED)
(Please be sure to fill in all required information or the form will be returned)
ADDRESS
NAME
CITY
STATE
ZIP
PHONE (DAY)
(NIGHT)
EMAIL
$
AMOUNT ENCLOSED
Make checks payable to: Epilepsy Foundation of CT
Yes, We would like to register for the Corporate
Package!! ($600 per team by 8/01/2014)
Name on Banner: _____________________________
____________________________________________
ADDRESS
CITY
STATE
ZIP
INFORMATION
WINNING TEAM WILL RECEIVE:
NO ALCOHOL ALLOWED PER ORDER OF
THE MIDDLETOWN POLICE DEPARTMENT
Captains packet and all MVT info can be found at
www.mudvolleyballct.com
 Registrations must be received in our office by

4:00 pm on August 15





No exceptions!
Office will be closed.
 Registration will begin at 7:30 a.m. Games begin at 8:30. Please
ensure your entire team arrives on time!!
 Maximum number of teams - 240
 Food vendor on site.
 Tournament will be held Rain or Shine.
 No Refunds After Aug. 1, 2014.
 Minimum age for players is 18 years.
 Parking Donation - $3

NO DOGS ALLOWED! - NO GRILLS ALLOWED!

This year’s event will be kicked off by





T H A N K

Trophies
T– Shirts
Reserved Parking (‘15 Tournament) with private port-o-let
Fee Waived for 2015
Year of Bragging Rights of Course!
$200 Gift Certificate to the restaurant of your choice
Funny Bone Comedy Club Tickets
MVT CORPORATE
PACKAGE
$600.00 per team
FROM HARTFORD
take 91 South: or
Have your company sponsor
FROM NEW HAVEN
your team, and get some cool
take 91 North: or
stuff!
!! FROM WATERBURY
NEW
Company logo on back
take 84 East to
of t-shirts
691 East to 91 North:
Team Registration
to Route 9 South.
Banner with company Name
Take Exit 11 (Randolph Road).
10 Mud Volleyball T-Shirts
Take a left at the end of the exit.
Team Photo (8”x10”)
Zoars Pond is 1¾ mile on the
Deadline: 08/01/2014
right.
Y O U ! ! !
Indian Hill
Tree Farm
DIRECTIONS TO
ZOARS POND
T H A N K
 City of Middletown
 Hunters Ambulance
Grace Lutheran Church Troop 10 Scouts
 South District Fire Department
 Durham Fire Department
 Middletown Park & Rec. Dept.
 Connecticut Agricultural
Experimental Station
 Middletown Water & Sewer Dept.

DeRita
Construction
Company, Inc.
Y O U ! ! !
NEW OPPORTUNITIES
PRODUCT/SERVICE
DISPLAY
TEAM FUNDRAISING
This year, we are highly encouraging each team to raise
additional money for MVT. All proceeds raised at MVT
support the Epilepsy Foundation of Connecticut’s programs
and services.
Here’s how it works!
 The team captain will receive an email after your registration
form is sent to EFCT.
 The email will include a link to your team page.
 If you want to participate email us a photo, a blurb about your
team and your fundraising goal.
 Email the link to your MVT teammates asking them to email it
to their friends, family and co-workers asking for donations.
 You can collect donations online or in person
 To be eligible for the Top Fundraising Team Prize, you must
register a team and turn in your donations by August 22, 2014.
Top Fundraising Team
The team that raises the most money over $1,000 will receive a
$200 gift certificate to the restaurant of their choice.
A 10 x 10 space to display your product or
service. Reach nearly 4,000 people in one
day!
Only 4 spots available! To guarantee a spot,
you must reserve your space and submit
your payment by August 1, 2014.
First Come first serve.
Fee: $250.00
Details:
 1 - 8' table provided
 1 - 10 x 10 space provided
Must provide own chairs, tents etc.
No electricity available.
No food vendors please.
CONTACT
Please contact Allison Gamber at 800-899-3745 or by email at
Allison@epilepsyct.com for more information or to participate
in any of the New Opportunities!
For rules, tournament schedule and other
information visit us at www.mudvolleyballct.com
and
on Facebook - Mud Volleyball CT
call the Epilepsy Foundation of Connecticut at
800.899.3745 for more information.
LOGO ON BACK
OF T-SHIRTS
Your company logo printed on the
back of 1,000 shirts sold at the
tournament.
3" x 1" Logo - $250.00
2" x 1" Logo - $100.00
TOURNAMENT BOARD
SPONSOR
Your company logo prominently
displayed on the official tournament
board during the 2014 tournament.
$500.00
386 Main Street
Middletown, Connecticut 06457 – 3360
Please contact us with address changes
efct@sbcglobal.net.
DATE & TIME
SATURDAY, AUGUST 16th, 2014
Games start at - 8:30AM
PLACE
ZOAR’S POND
RANDOLPH ROAD, MIDDLETOWN, CONNECTICUT
REGISTRATION 7:30 AM
$250.00 PER TEAM
AFTER JULY 12th, 2014 - $275.00 PER TEAM
DAY OF EVENT - $325.00 PER TEAM
It’s Good Clean Fun!!!