Southern Maine Junior Open Badminton Tournament Entry Form

Make checks payable to Portland Athletic Club and mail to:
Portland Athletic Club c/o Barb Loch
Badminton Tournament
196 US Route One
Falmouth, ME 04105
Name ____________________ Tel (Day) __________ Tel (Eve) __________
Address __________________ City _______________ State ___ Zip ______
[ ] Male     [ ] Female Birthdate ___________  
I will be participating in:
Circle age level
How would you rate yourself?
Circle level
[ ] Singles U21   U19   U16   U14   U12 A   B   C
[ ] Doubles
Partner _____________________
[ ] I want to play, but need a partner
U21   U19   U16   U14   U12 A   B   C
[ ] Mixed Doubles
Partner _____________________
[ ] I want to play, but need a partner
U21   U19   U16   U14   U12 A   B   C
Entry fee enclosed: $_________________ USAB # _______________      or [ ] $5 USAB participation fee enclosed
[ ] Parents - I have read & signed the waiver that follows:

Waiver and Agreement must be signed before playing in the tournament
Informed Consent for Participation

1. In consideration of Being Permitted to Participate in Any Way in the Southern Maine Open, a USA Badminton activity, I And/Or My Minor Child, Our Personal Representatives, Assigns, Heirs, and next of Kin:
2. Acknowledge, Agree and Represent That I And/Or My Minor Understand the Nature of Badminton Activities and That I And/Or My Minor Child Are Qualified, in Good Health and in Proper Physical Condition to Participate in Such Activity. I further agree that if at any time I believe conditions or equipment to be unsafe, I and/or my minor child will immediately discontinue further participation in the ctivity.
3. Fully understand that: A. Badminton activities involve risks and dangers of serious bodily injury, including permanent disability, paralysis and death ("Risks"); B. These Risks and Dangers may be caused by me and/or my child's own actions, or inactions, the action or inactions of others participating in the activity, the condition in which the activity takes place, or the Negligence of the "Releasee" named Below; C. There may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and responsibility for losses, costs and damages I and/or my minor child incur as a result of my participation in the activity.
4. Hereby accept and assume all such risks, known and unknown, and assume all responsibility for the losses, costs and/or damages following such injury, disability, paralysis or death, even if caused in whole or in part by the negligence of the "Releasee"  named below;
5. Hereby release, discharge and Covenant not to sue USA Badminton, their respective administrators, Directors, Agents, Officers, Volunteers and Employees, other participants, any sponsors, advertisers and Portland Athletic Club, its employees, owners and lessors of premises on which the activity takes place, (Each considered one of the "Releasee" Herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the "Releasee" or otherwise, including negligent rescue operations; and I further agree that if, despite this release and waiver of liability, assumption of risk and indemnity agreement I and/or my minor child, or anyone on my and/or my minor child's behalf, makes a claim against any of the Releasee, I will indemnify, save and hold harmless each of the Releasee from any litigation expenses, attorney fees, loss, liability, damage or cost which any may incur as the result of such claim.
6. I have read this agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, otwithstanding, shall continue in full force and effect.

Signature ___________________________________________ Date _______________

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