Jim McLaughlin Memorial Tennis Tournament Sponsorship / Player Registration Dear Friends and Players, Sea Isle City lost a good friend when Jim McLaughlin passed away last summer. He was always generous with both his time and money. To honor his memory this event has been planned which will partner his love of tennis and his charitable spirit. The Jim McLaughlin Memorial Tennis Tournament will be held on Saturday, June 20th, with all proceeds to benefit Special Olympics, Cape May/Atlantic County. Bring your racquet to Dealy Field Tennis Courts, 63rd and Central Avenue, Sea Isle City from 9 AM -1 PM and have some fun for a good cause. Rain date is Sunday, June 21st. (All donations are non-refundable.) PLEASE COMPLETE B E L O W . All funds raised go directly to Special Olympics, Cape May/Atlantic County. (Please consult with your accountant as to any tax deduction to which you may be entitled.) All checks should be made payable to Special Olympics New Jersey Patron's Name _ Address Phone Number Shirt Size (please circle) XL L M s Tennis: . I understand play time will be from 9 AM -1 PM with a tournament format at a RAIN or SHINE cost of $40.00 per person. Shirt Sponsor: a tennis shirt for a cost of $50.00 Court Sponsor: I understand that my name/company will be imprinted on . I understand that my name /company will be posted at the tennis courts as a major sponsor on the day of the tournament for a cost of $100.00 Purchase Shirt Only $15.00 _ All tennis players, shirt and tournament sponsors shall receive a shirt. Please return with your check payable to" Special Olympics New Jersey "with this form to: Matthew Iannone, Special Olympics New Jersey c/o Freda Real Estate Phone: 609-263-2271 6216 Landis Avenue Sea Isle City, NJ 08243 For all tennis players we ask that you sign the waiver on the back of this form or page two of the e-mail. SPECIAL OLYMPICS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY, AND PARENTAL CONSENT AGREEMENT ("AGREEMENT") In consideration of participating in the John Mclaughlin Memorial Tennis Tournament, I represent that I fully understand the nature of the John Mclaughlin Memorial Tennis Tournament event and that I and/or my minor child am qualified, in good health, and in proper physical condition to participate in such John Mclaughlin Memorial Tennis Tournament. I acknowledge that if I and/or my minor child believe event conditions are unsafe, I and/or my minor child will immediately discontinue participation in the John Mclaughlin Memorial Tennis Tournament. I fully understand that the John Mclaughlin Memorial Tennis Tournament involves risk of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the "releasees" named below; and that there may be other risks either not known to me or not readily forseeable 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 result of my and/or my minor child's participation in the John Mclaughlin Memorial Tennis Tournament. I hereby release, discharge and covenant not to sue Special Olympics New Jersey, Freda Real Estate or Sea Isle City Recreation & Facilities, their respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers and each 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; and I further agree that if, despite this release waiver of liability, and assumption of risk I, or anyone on my and/or my minor child's behalf, makes a claim against any of the Releasees, I will indemnify, save and hold harmless each of the releasees from any loss, liability, damage, or cost which any may incur as the result of each claim. I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY, PARENTAL CONSENT AGREEMENT, and 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 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. Date: _/_/ _ Printed Name of Participant Signature o f Participant {Parent/ Legal Guardian if under age 18) Permission to publish: In participating, I am specifically granting permission to you to use my name, likeness, voice and words in television, radio, films, newspapers, magazines, and other media, and in any form not heretofore described, for the purpose of advertising or communicating the purposes and activities of Special Olympics in appealing f o r funds to support such activities. I, the undersigned, have read and understood the provisions of this release. I hereby agree that I will be bound thereby. Signature of Participant {Parent/Legal Guardian if under age 18) Date: _/_/_
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