1. education
2. school

THE
4TH ANNUAL SCHOLASTIC TABLE TENNIS CHAMPIONSHIP TOURNAMENT
REGISTRATION AND PARTICIPATION LIABILITY WAIVER & RELEASE FORM
Tournament Participant’s Full Name: _________________________________________________
Address: ________________________________________________________________________
Phone: _____________________________ Email: ___________________________________
School: _________________________________________ Grade: ______ Age: _______
Emergency Contact Person: _______________________________Emergency Contact Phone: _____________________
Registration: Early registration through the participants’ school until April 15, 2015; For open registration, please scan and email the
signed, completed registration and participation liability waiver & release form to Fargo-Moorhead Table Tennis Association
(FMTTA) at [email protected] by April 23, 2015. After April 23, 2015, open registration can be done at tournament site
from 8:30AM to 9:00AM until the number of participants reaches 72 in total.
Participant Waiver & Release of Liability
Instructions:
1) Each tournament participant must read the statement below before completing and signing this Liability Waiver & Release form.
2) Parents/Guardians must read the statement below before signing on the line below that of their child/tournament participant if the
participant is UNDER 18.
Agreement: In consideration of my participation in The 4th Annual Scholastic Table Tennis Championship Tournament, I
acknowledge, agree to and understand that:
1. WAIVER & RELEASE OF LIABILITY: I am fully aware that there are certain inherent risks, dangers and hazards associated with
engaging in physical activities that can result in serious personal injury or death, as well as other damages and losses, associated with
participation in this table tennis sport event. I further agree on behalf of myself, my heirs and personal representatives, that FargoMoorhead Table Tennis Association, the host organization, Discovery Middle School, the facility provider, and sponsors of this event,
along with organizing team members, volunteers, employees, agents, officers and directors of these organizations, shall not be liable
for any injury, loss of life, or other loss or damage occurring as a result of my participation in the event, or as a result of equipment
that may have been provided to me for these activities.
2. CODE OF CONDUCT: I have agreed to act in accordance with good sportsmanship with regard to my responsibilities as a
player/tournament participant. Any unsporting behavior from me may result in my disqualification from the tournament at the
discretion of the tournament organizing team.
I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM
WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. Parent or Guardian must sign if the participant is
UNDER 18.
_______________________________
Player/Tournament Participant’s Name
___________________________________
Player/Tournament Participant’s Signature
______
Date
__________________________________________
________________________
______
Parent/Guardian’s Signature for Participant under 18
Relationship with Participant
Date
----------------------------------------------------------------------------------------------------------------------------- ------------------------------------(Please cut through the dot line and keep the tournament information below for your reference)
Event: The 4th Annual Scholastic Table Tennis Championship Tournament
Time and place: Saturday, April 25, 2015 from 9:00AM to 2:00PM at Discovery Middle School (1717 40th Ave. S. Fargo, ND)
Format: For the Middle School and High School divisions, the first round is in round-robin format (e.g., 3-5 players per group; all
players in the group play one another). Based on the round robin results, each player in the group will go to either the Division A
playoff or the Division B playoff. For the Elementary School division, there is only one division with the group round-robin in the
first round followed by the division playoff.
What to do first at the tournament: First, check in with the tournament organizers at the control desk. Second, find out which
group/table you will be playing in the first round and go to the table. Then, have fun.
Lunch at the tournament: Free pizza and water will be provided.
Important Note: Participants bring their own paddles while balls will be provided at the tournament. Some extra paddles may be
available for check-out at the tournament site. The tournament will use orange balls; therefore, orange/bright yellow clothes are not
permitted for participants. Please check our website at http://fmtabletennis.com/youth-tournament.html for more information about
the tournament. If any question, please contact FMTTA at [email protected].
Special thanks to: Lea Krabbenhoft (Scheels), Jeff Conant (Crown Trophy), Henry Guo (Super Buffet), Loree Gauffin (Bell State
Bank & Trust), Sara Wohl (Eide Bailly), Taylor Cavanagh (COUNTRY Financial), and Mary Brown (Spicy Pie) for making this
tournament possible.
About us: FMTTA is a 501(c)3 nonprofit organization to promote the sport of table tennis in the greater FM. Donations are welcome!