TEAM REGISTRATION FORM

COG BOG 2016

The 2016 COG BOG MUD VOLLEYBALL TOURNAMENT will be held

September 10, 2016 beginning at 10 a.m., Saturday.
Team captains will be notified by September 6th of their game time.
Respective captains, in turn will be responsible for notifying their
team players.

The $200.00 entry fee must be included with this completed

registration form. Checks should be made to First Church of God.
The first twenty-four (24) forms received will be entered in the
tournament. Any forms and entry fees received after the first 24
PAID teams, will be returned.
All waivers and forms MUST BE RETURNED SIGNED!
Please enter my team in the 2016 COG BOG MUD VOLLEYBALL
TOURNAMENT
TEAM
CAPTAIN____________________________________________________________________
_________
ADDRESS___________________________________________________________________
__________________
PHONE______________________________________________________________________
__________________
EMAIL_______________________________________________________________________
__________________
TEAM
NAME_______________________________________________________________________
___________
SPONSORED BY (IF
APPLICABLE)_________________________________________________________

TEAM MEMBERS (2 MUST BE FEMALE)

1.____________________________________________
2._______________________________________
3.____________________________________________
4._______________________________________
5.____________________________________________
6._______________________________________
7.____________________________________________
8._______________________________________
RETURN ENTRY FORMS AND ENTRY FEE TO: CHURCH OF GOD
25822 ST. RT. 159
CIRCLEVILLE, OHIO 43113
COG BOG MUD VOLLEYBALL TOURNAMENT 2016
WAIVER: IN CONSIDERATION OF YOUR ACCEPTING THIS ENTRY, I THE
UNDERSIGNED PARTICIPANT AND (IF UNDER 18 YEARS OF AGE)
PARENT OR GUARDIAN, INTEDNDING TO BE LEGALLY BOUND HEREBY,
FOR OURSELVEDS, OUR HEIRS, EXECUTORS AND ADMINISTRATORS,
WAIVE, RELEASE AND FOREVER DISCHARGE ANY AND ALL RIGHTS
AND CLAIMS FOR DAMAGES WHICH WE MAY HAVE OR WHICH MAY
HEREAFTER ACCRUE TO US, AGAINST ANY AND ALL PERSONS,
ORGANIZATIONS AND LEGAL ENTITIES AFFILIATED WITH SUCH EVEN,
MORE PARTICULARLY, THE FIRST CHURCH OF GOD COMMUNITY
WORSHIP CENTER, THEIR REPRESENTATIVES, SUCCESSORS AND
ASSIGNS AND/OR SPONSORS, FOR ANY DAMAGES SUSTAINED OR
SUFFERED IN CONNECTION WITH OR ENTRY IN THIS EVENT.

TEAM
NAME:______________________________________________________________________
_________
NAME
SIGNATURE

ADDRESS

ENTRANTS
(Parent or Guardian

if
Under age of 18)

1.___________________________________________________________________________
____________________________

2.___________________________________________________________________________
____________________________

3.___________________________________________________________________________
____________________________

4.___________________________________________________________________________
____________________________

5.___________________________________________________________________________
____________________________

6.___________________________________________________________________________
____________________________

7.___________________________________________________________________________
____________________________

8.___________________________________________________________________________
____________________________

COG BOG MUD VOLLEYBALL TOURNAMANT 2016

WAIVER
COG BOG MUD VOLLEYBALL TOURNAMENT 2016
In consideration, COG BOG MUD VOLLEYBALL, FIRST CHURCH OF GOD
COMMUNITY WORSHIP CENTER and other parties involved in the planning
and/or implementation of COG BOG MUD VOLLEYBALL TOURNAMENT 2016
on Saturday, September 10, 2016, I waive all claims for damage or loss to
my person or property which may be caused by the aforementioned parties,
their officers, employees, heirs, sponsors or legal representatives. Further, I
hereby agree not to assert myself against the same parties in any court of

law, and do release same parties from all liability, claims, demands, costs,
charges and expenses incident to any possible damage or personal injuries
that I now have in the further, known or unknown, while participating in the
COG BOG MUD VOLLEYBALL TOURNAMENT 2016.

I assume the risk of all dangerous conditions associated with the playing of
Mud Volleyball and waive any and all specific notice of the existence of such
conditions. I do also assert that I am of sound physical condition and
capable of participating in strenuous activities without undue risk. I
understand shoes MUST be worn at all times during play. I also grant
permission to the aforementioned parties to utilize any and all photographs
taken aat the event for future promotional purposes.

NAME
(printed):____________________________________________________________________
_________________
Complete Mailing
Address:_____________________________________________________________________
______________________________________________________________________________
_____________________________________________________
Email:_______________________________________________________________________
__________________________
Emergency Contact
(name/ph#)_________________________________________________________________
__
Signature:___________________________________________________________________
__________________________
Signature of parent/guardian if under
18:__________________________________________________________________________
___________________________