19TH ANNUAL CYB BIG BANG

4TH OF JULY TOURNAMENT REGISTRATION FORM

 

July 2-4, 2010         U10, U11, U12, U13, U14, U15 Divisions                         Casper, Wyoming

Entry deadline is June 16th, 2010.  Late registrations taken only with approval of Tournament Director.

 

TEAM NAME: ________________________________________________________________

 

CITY: _______________________________________________  STATE:_________________

 

MANAGER’S NAME: _________________________________________________________

 

            MAILING ADDRESS: __________________________________________________

           

            CITY: _________________________    STATE: __________   ZIP: ______________

           

            DAY PHONE: ___________________     HOME PHONE: ____________________

           

            EMAIL ADDRESS: ___________________________________________________

           

            FAX MACHINE NUMBER: _________________________  

 

OTHER CONTACT’S NAME: _____________________________________________________

 

            POSITION/TITLE: _________________________________________________________

 

            DAY PHONE: _____________________          HOME PHONE: _______________________

 

PLEASE INDICATE WHICH DIVISION YOU WISH TO ENTER:

 

U10-U12       $275 + 1 DOZEN BASEBALLS (IF REGISTERED & PAID BY JUNE 16, 2010)

                        $300 + 1 DOZEN BASEBALLS (IF REGISTERED/PAID AFTER JUNE 16, 2010)

 

U13-U15       $350 + 1 DOZEN BASEBALLS (IF REGISTERED & PAID BY JUNE 16, 2010)

                        $390 +  1 DOZEN BASEBALLS (IF REGISTERED/PAID AFTER JUNE 16, 2010)

 

 

____U10               ____U11                   ____U12                           ____U13               ____U14               ____U15              

 

                                                                                                                                                   

PLEASE MAKE CHECKS PAYABLE TO CYB AND SEND TO CYB, P.O. BOX 1966, CASPER, WY 82602

 

We certify that this application is complete and that our entry fee is enclosed.  Furthermore, we have read the tournament rules and agree to abide by them.  We agree to provide a copy of the team roster & waiver/release of liability (complete with signatures) to tournament officials by June 16, 2010, and to have any roster changes and additional waivers with signatures available at check in or when requested.  We also understand that the entries to this tournament are based on the date of receipt by the Big Bang Tournament Committee.  Finally, we have read and understand the refund policy governing this tournament, which is:  No refunds once brackets are set!  Rain-outs are not usually a problem, we have the fields and personnel sufficient that this has never been a problem!  But in such case-arrangements will be made to accommodate the teams.

 

MANAGER’S SIGNATURE: ___________________________________             DATE:______________________

 

19TH ANNUAL CYB BIG BANG 4TH OF JULY TOURNAMENT

TEAM ROSTER & WAIVER/RELEASE OF LIABILITY

 

Roster & Waiver/Release of Liability is to be completed (with all signatures) and returned to the Tournament Director by June 16, 2010.  Roster changes/additional waiver signatures verified at Tournament Meeting, TBA.  Birth certificates or ID cards are necessary.

 

TEAM NAME: _____________________________  CITY & STATE: ___________________

 

DIVISION:    10U           11U           12U           13U           14U           15U          

 

READ BEFORE SIGNING: 

In consideration of being allowed to participate in any way in the Big Bang Tournament, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1.  The risk of injury from the activities involved in the program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist and,

2.  I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unkown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume all full responsibility for my participation; and,

3.  I willingly agree to comply with the stated and customary terms and conditions for participation.  If however I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and

4.  I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS CASPER YOUTH BASEBALL, INC., there officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

 

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

 

PARENTS/GUARDIANS SIGNATURE SHOULD BE ON THE SAME NUMBERED LINE AS PLAYER’S NAME APPEARS ON THIS ROSTER.  By signing this roster, parent or legal guardian agrees to the above statements and verifies that the date of birth is correct.  Parent or legal guardian of each youth player must sign below.  FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as parent/legal guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above all the Releasees, and, for myself, my heirs, assigns and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.

                                                                                                                                                                                                                             

AGE

PLAYER NAME

(please print)

DOB

PLAYER SIGNATURE

PARENT/GUARDIAN SIGNATURE

RELATIONSHIP

JERSEY #

 

 

 

 

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MANAGER: SIGN BELOW TO CERTIFY THAT ALL ABOVE SIGNATURES ARE LEGITIMATE.

 

MANAGER SIGNATURE: _______________________________________________________