HERO GAMES
Transcription
HERO GAMES
HEROGAMES June18,12pm–4pm;4thAve AwardsCeremonytoFollow TEAMREGISTRATIONFORM Pleasecompletethisformtoregisteryourteam.Thereisalimitoftwoteamsperorganization. Allteamsshouldincludeatleastonefemaleparticipant.Pleaseprintyourinformation,being carefultomakeinformationlegible.Youmustbe18yearsofageoroldertoparticipate.All participantswillbeaskedtosignaliabilitywaiverandphotoreleaseformpriortocompetition. DEADLINETOREGISTERISJune3th,2016 Teamname:_____________________________________________________________ Organization:_____________________________________________________________ MailingAddress:__________________________________________________________ Pleaselistteammembers.Eachteammusthaveaminimumof5members(atleastone female)andnomorethan10. TeamCaptain’swillmeetJune9hat11a.m.forpre-gamebriefingattheAnchorageDowntown Partnershipoffice:333W.4thAvenue,Suite317.(Thirdfloorofthe4thAvenueMarketPlace.) Pleasenote,youcanonlybetheteamcaptain/teammemberofoneteam. TeamCaptain:___________________________________ Phone:___________________E-mailaddress:________________________________ Alternatecontactperson:________________________Phone:__________________ TeamMembers: Name:______________________________ Name:______________________________ Name:______________________________ Name:______________________________ Name:______________________________ Name:______________________________ Name:______________________________ Name:______________________________ Name:______________________________ Name:______________________________ Returncompletedformto: 333W.4thAvenue,Suite317,Anchorage,99501 E-Mail:sfouquet@anchoragedowntown.org Formoreinformationcontact:SofiaFouquetat279-5655 DEADLINETOREGISTER:JUNE3,2016. Pleasereturntheregistrationformandwaiver. 2016HeroGames LiabilityWaiver/ParticipationForm TeamName:__________________________________________________________________________ Organization:__________________________________________________________________________ Liabilitywaiver: I,theundersignedHeroGamecompetitor,recognizeandacknowledgethatthereareknownandunknownriskstoperson andpropertythatareinherentinmyparticipationintheHeroGamesanditsattendantactivities.Ielecttoparticipatein theHeroGamesandfreelyandvoluntarilyacceptallsuchrisks.Inconsiderationofmybeingacceptedasaparticipantin theHeroGames,Idopersonallyandindividually,formyself,myheirs,executors,legalrepresentativesandassigns,waive andreleaseanyandallrightsandclaimsfordamagesorinjuriesthatImayhaveorthatmayariseagainstADPCommunity Services, Anchorage Downtown Partnership, Ltd., and/or their officers, directors, members, agents and sponsors, and all otherpersonsandentitiesaffiliatedwiththeHeroGames.Ifurtheragreetoindemnifytheaforementionedandholdthem harmlessfromandagainstanyandallclaims,liabilities,disputes,lawsuits,actions,andcosts,includingattorney’sfeesand expenses that in any way may arise out of, relate to, or be caused by my participation in the 2016 Hero Games. I acknowledge that I am responsible for my own medical care and understand that the Hero Games, its organizers and sponsorsdonotprovidemedicalorinsurancecoverageformeshouldIbecomesickorinjuredwhileparticipatinginthe 2016HeroGames. Artisticrelease: I, the undersigned Hero Games participant, hereby grant permission without additional compensation to ADP CommunityServices,AnchorageDowntownPartnership,Ltd,andtheirrepresentativesandaffiliatestouseany and all photographs, motion pictures, video and/or audio recordings of my participation in the 2016 Hero Gamesforpromotionaland/orcommercialpurposesastheymayseefitintheirsolediscretion. Signedby: PrintedName _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ Signature _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________