1st

Annual Co-Ed Sand

Volleyball Tournament

Date: Sunday June 15, 2014
Where: Alameda Park, Butler
Time: 9am-3pm

Team Name: _________________________________________________________________________________

Team Members Name/Age: (Required between 6- 10 players)
1.
6.
2.

7.

3.

8.

4.

9.

5.

10.

In the case I need to contact your team, who should I get ahold of?

Name: ________________________________________________________________________________________
Address: _____________________________________________________________________________________
_________________________________________________________________________________________________
Phone Number: _____________________________________________________________________________
Email: ________________________________________________________________________________________

Payments & Registration:

Cash and checks are both acceptable. Checks are to be made out to Bump Up
Awareness for Down Syndrome.

Both the payment of $100 and this completed form are to be turned in on the day of
sign-ups.

By checking this box, all team members have acknowledged, discussed, and
agreed that in any event of an injury Alameda Park and Bump Up Awareness
for Down Syndrome are not responsible.

If you have any question or concerns, please feel free to email me at
bumpupfordowns@gmail.com and I will get back to you! See you at sign-ups!