British Columbia Table Tennis Association Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement (“Agreement) 1. IN CONSIDERATION of being permitted to participate in any way in British Columbia Table Tennis sanctioned events, I and/or my minor child, our personal representatives, assigns, heirs, and next of kin: 2015 Richmond Open ** (2-star) tournament Presented By B.C. Table Tennis Association Sanctioned By 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. Table Tennis Canada Jan 24, 2015 VENUE: Bridgeport Sports Club 11660 Bridgeport Road Richmond B.C. 3. FULLY UNDERSTAND that (a) TABLE TENNIS ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH, HARASSMENT, EXPOSURE TO INAPPROPRIATE CONDUCT AND LANGUAGE ("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 ANDSEVERE 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. Entry Deadline: 3 pm Monday, Jan. 19, 2015 Late entries will NOT be accepted Draw Date: Thursday, Jan. 22, 2015 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 BC TABLE TENNIS ASSOCIATION, 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 S HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT. ______________________________________________ ________________________________________ Signature of Participant Print Name of Participant ______________________________________________ __________________________________________ Signature of Parent/Legal Guardian Print Name of Parent/Guardian (If Participant is under age 19) Date: _____________________________________ Tournament Committee Referee: Dr. Chandra Madhosingh Deputy Referee: Tony Xu Control Desk: Kam Chuen Tang, Josh Zhang ENTRY REGULATION & DEADLINE: - Entry forms will NOT be accepted and processed unless accompanied by exact entry fees. Late entry will NOT be accepted. (Local postal service takes at least Three business days) Entry deadline: received by 3 pm Monday, Jan 19, 2015 Draw date: Thursday, Jan 22, 2015 Make cheque payable to B.C.T.T.A. DO NOT send cash by Mail. Send entry to: B.C.T.T.A. #208-5760 Minoru Blvd., Richmond, BC V6X 2A9 For further Information, call: BCTTA (604) 270-3393 ENTRY - Entry forms will NOT be processed unless accompanied by correct fees. - Late entry will NOT be accepted. - Entry deadline: Jan 19, 2015 (Mon) by 3:00 pm - Make cheque payable to B.C.T.T.A. - DO NOT send cash by Mail. We gratefully acknowledge the financial support of the Province of British Columbia through the Ministry of Community, Sport and Cultural Development **2015 Richmond Open Entry Form 2015 Richmond Open Schedule Saturday Jan 24, 2015 08:30 09:00 10:00 11:00 12:30 Door Opens U-1300 Singles U-300 Singles Open Singles U-800 Singles Name: Gender: (M/F)__________ (Please Print)(First Name) (Middle Name)(Last Name) Saturday Jan 24, 2015 RR & KO RR & KO RR & KO RR & KO 14:00 U-1800 Singles 15:30 Over 65 Singles 16:30 U-2300 Singles 17:30 Over 45 Singles RR & KO RR & KO RR & KO RR & KO Schedule time is approximate. AWARDS Cash awards subject to change depending on the number of entries. Cash prizes will be given to the following events: Open Singles U-2300 Singles U-1800 Singles 1st 2n $300 $150 $160 $ 80 $100 $ 50 3rd & 4th $70 $40 $25 Date of Birth: Phone: ( ) :___________________ YYYY – MM - DD Address: __________________________________________________________ City: ____________________Province: __________Postal Code: _____________ Email address:___________________________________________________________ Rating Points: BCTTA Membership #: ______________ Events Entry Fee Open Singles $30 $25 for U15 Jr. players U-2300 Singles U-1800 Singles $25 $20 $20 for U13 Jr. players U-1300 Singles $18 All other events – Trophies will be awarded to winners & runners-up. U-800 Singles $15 Equipment Table & Net –Butterfly Balls – 40 mm plus White Double Fish 3 Stars. U-300 Singles $15 Over 45 Singles $15 Players born in or before 1970 Over 65 Singles $15 Players born in or before 1950 Eligibility - All participants must be members in good standing of the BCTTA, TTCAN, USATT or other ITTF affiliated associations. - Seeding in the draws is based on the latest Canadian ratings available at the time of the draw. - The Tournament Committee may estimate the rating of any unrated player at any time during the tournament and remove that player from any event for which such a rating would make the player ineligible. Format; All Singles Events shall have round robins (RR) with best 3 of 5 games, followed by Single knock outs (KO), Open Singles will be best 4 of 7 games in finals. - The Tournament Committee reserves the right to cancel any event due to insufficient entries. Rules - Current ITTF Laws of Table Tennis will be in effect. - All rackets must be one side black and one side red with ITTF approved coverings. - Tie-breaks in round-robins will be decided by score of matches, games, points, only of those players involved in the tie. - Street clothes, tracksuit or any part thereof shall not be worn during match except by special permission of the Referee (see ITTF regulations). Shorts/Skirts and short sleeve or sleeveless playing shirt MUST be worn during match. Colour of playing shirt should not be white or bright yellow and playing shoes must be non-marking. - Events with fewer than 4 entries may be cancelled or combined with another event at the discretion of the Tournament Committee. - Unpaid entries at the time of the Draw will NOT be in included in the tournament. Administration Fee Rating Fee (for TTCAN) Voting Membership Fee Non-Voting Member Fee One time permit fee $5 All player must pay $5 All Adults must pay $3 All Juniors must pay $30 for aged 19 and over (good till Aug 31, 2015) $20 for any age (good till Aug 31, 2015) $10 If not a BCTTA Member. Total Amount Paid: $ ________________ Please make cheque payable to BC Table Tennis Association PLEASE READ THE AGREEMENT OF RELEASE AND WAIVER OF LIABILITY AT THE BACK OF THIS PAGE , SIGN AND RETURN THIS PART TO BCTTA OFFICE ON OR BEFORE Jan 19, 2015 (MONDAY) Umpiring - In general, players will be required to umpire their own matches. Umpires will be provided for semi-finals & finals. We gratefully acknowledge the financial support of the Province of British Columbia through the Ministry of Community, Sport and Cultural Development
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