REBOUNDERZ DODGEBALL ROSTER FORM Team Name:_______________________ Date:_______________________________(Must Turn in by: _______________________) Waiver and Assumption of Risk (Each Participant must read and sign. If in a Co-Rec team, there must be a minimum of 3 female players) In consideration of my involvement and participation in Rebounderz Indoor Trampoline Arena Dodgeball Tournament/League, I hereby voluntarily assume any and all risks of personal injury or personal property damage which might be associated with my participation and involvement in Rebounderz’ Dodgeball Tournament/League. I acknowledge that I have received a copy of the official rules and regulations for Rebounderz Indoor Trampoline Arena Dodgeball Tournament/League. I hereby certify that I am in good physical condition and that a licensed physician has verified that my physical condition is at a sufficient level to enable me to participate in the nature of the activities safely. I agree to follow all instructions, rules and regulations of Rebounderz regarding the use of its facilities while engaged in its Dodgeball activities. Print Name Phone Number # E-mail Address Date of Birth Signature (or parent’s if under 18) 1. 2. 3. 4. 5. 6. 7. 8. 9. __________________________________________________________________________________________ 10. __________________________________________________________________________________________
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