Magic Spin Table Tennis

Magic Spin Table Tennis
http://www.magicspintabletennis.com
2-Star USATT Sanctioned Tournament on Saturday, October 25, 2014
Tournament Information and Requirements
Director:------------------------Mr. Ardy Afshar; (949) 463-8000; [email protected]
Referee:------------------------Mr. Joe Tran CR/IU
Staff:----------------------------Mr. Vic Truong; [email protected] and Mr. Ardy Afshar
Location/Venue:-------------Magic Spin Table Tennis Club, 6386 Industry Way, Westminster, CA 92683
Eligibility;----------------------All players must be USATT members or buy a one-time pass ($10)
Registration & Deadline:-Using this form or online at http://www.omnipong.com; Deadline:--Oct 24, 2014
Event**
st
nd
Date
Time
1 Prize
2 Prize
Fee/Player
Name
1
U2100RR
SAT
09:00 AM
$100
$50
$15
USATT#
2
3
U1500RR
SAT
10:30 AM
T
T
$15
Expiration Date
U1300RR
SAT
12:00 PM
T
T
$15
DOB (optional)
4
U1900RR
SAT
01:00 PM
T
T
$15
Club
5
6*
U1700RR
SAT
02:30 PM
T
T
$15
Home Address
U2500RR
SAT
04:00 PM
$200
$100
$20
City, State, Zip
7
8
U2300RR
SAT
05:30 PM
$150
$75
$15
Phone (Txt)
U3700DBLE RR
SAT
06:30 PM
$150
$100
*Event 6 will use the new plastic ball type (non-celluloid): Nittaku 3-Star
**Unrated players may participate in any event but will not advance.
$15
Sub-Total
$
Official Tournament Equipment: Butterfly
Tables, Yellow 3-Star Balls, Red Mat Floor
Last/First
Email
Add $7 USATT Fee
& $5 Admin Fee
Total Fee:
$
RULES:
THANK YOU FOR YOUR SUPPORT
1) All USATT & ITTF regulations, including equipment, conduct, dress code, and discipline apply.
If not using www.omnipong.com,
All matches are 11 pt. games, best 3 out of 5 games.
please mail your registration form and
2) Ratings from the USATT October 10, 2014 will be used for qualifications. Event 8 is limited to
make a check PAYABLE to:
U2100 players only. The most recent rating will be used for draw.
3) Players may not enter two events with the same start time, and may play no more than 4 events.
Magic Spin Table Tennis Club
4) Players must register at least 30 minutes before starting time.
6386 Industry Way
All decisions by the tournament referee & committee are final.
Westminster, CA 92683
5) Events may be canceled or combined if needed. Fees will be refunded if canceled.
6) All participants must read and sign a Liability Waiver to complete your registration. See below.
USA Table Tennis
Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement
("Agreement")
1. IN CONSIDERATION of being permitted to participate in any way in USA Table Tennis sanctioned events, 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 Table Tennis 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 Activity.
3. FULLY UNDERSTAND that (a) TABLE TENNIS 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 inaction, or the actions or inaction of others participating in
the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" 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 ALL 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 "RELEASEES" NAMED BELOW;
5. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE USA TABLE TENNIS, their respective administrators, directors, agents, officers, officials, volunteers, and
employees, other participants, any sponsors, advertisers, and if applicable, owners and lessors of premises on which the Activity takes place, (each
considered one of the "RELEASEES" 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 "RELEASEES" 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 Releases, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney
fees, loss, liability, damage, or cost which 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, NOTWITHSTANDING, SHALL
CONTINUE IN FULL FORCE AND EFFECT.
___________________________ _____________________________ ______________________________________________________________________________
Signature of Participant
Print Name
Date
___________________________ _____________________________ ______________________________________________________________________________
Signature of Parent/Legal Guardian (If Participant is under age 18)
Print Name of Minor Child
Date
MAP and DIRECTIONS
Magic Spin Table Tennis Club
6386 Industry Way
Westminster, CA 92683