Coed Rotating Pairs
Friday, October 11th, 2019
5:45pm @ The Island

We are full with three teams on the wait list, 10/8 @ 3:45pm. Please register to be put on the wait list
Sign in to Google to save your progress. Learn more
Select Your Level of Play *
Rate as a team, or check each partners level
Required
Captain's Full Name *
Michael Myers
Captain's EMAIL *
Captain's St. Address *
666 Slasher Way
Captain's City, State, Zip Code *
Haddonfield, IL, 62058
Captain's Cell Phone Number *
303-666-1978
Partner's Full Name *
Michael Myers
Partner's EMAIL *
Partner's Address
666 Smiths Grove St
Partner's City, State, Zip Code
Haddonfield, IL 62058
Partner's Cell Phone Number
303-666-1978
Cost per team $60
Payment Options *
PayPal Invoice or Credit Card Entered Below. Paying Day of Tourney is NOT an Option.
Credit Card Number $60 per team
(Please include dashes) xxxx-xxxx-xxxx-xxxx
Credit Card Exp Date
xx/xx
CVV #
3 digit code, 4 digit for AMEX
Waiver & Release (I HAVE READ THIS WAIVER AND RELEASE COMPLETELY AND UNDERSTAND ITS CONTENTS FULLY.  I AM SIGNING THIS WAIVER AND RELEASE VOLUNTARILY) *
Manager/Captain/Players/Drop-In Indemnification Agreement: Manager/Captain/Players/Drop-In shall indemnify and hold harmless Volleyball Of The Rockies d.b.a. The Island (hereafter referred to as VOTR) from and against all claims, liabilities, causes of action or other legal proceedings stemming from claims of negligence against VOTR or any other claim in tort or contract, by any Manager or third party whom Manager allows to participates in VOTR activities, for damage to property, injury or death of any person or persons in any way arising out of, connected to, or resulting from Manager allowing that third party or team member to participate in VOTR activities, including playing indoor or outdoor, in a confined space which might include running into equipment, beach furniture, or other players,  as well as, being hit by volleyballs or slipping on a wet surface in the foot wash area while at the Island, without first signing a VOTR Waiver and Release form (such form shall be made immediately available upon request from VOTR Manager). Indemnification shall include the obligation to defend any and all actions, claims, or other legal proceedings and to reimburse VOTR for all expenses, including costs and attorney's fees incurred in connection therewith, regardless of whether such claims arose out of negligence of VOTR, its directors, agents, employees, servants, or assigns.  Outside food/beverage is not allowed at the Island/Oasis facilities. Any person introducing alcohol into our facilities will be suspended from all VOTR programming.  I grant Volleyball of the Rockies (VOTR) and its subsidiaries, the right to take photographs/video of me in connection with the above-identified event.  I authorize VOTR, its assigns and transferees to copyright, use and publish the same in print and/or electronically.  I agree that VOTR may use such photographs/video of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.
Required
Additional Notes
Use this space for any additional spooky & scary information
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Volleyball of the Rockies. Report Abuse