2016 NORTHERN REGION CHAMPIONSHIPS DUEL IN THE CORNFIELD August 13 & 14 — Toledo Ohio Hosted by Ace Archers and Mudjaw Bowman

Tournament Contacts & Information: Tournament Director: Chris Worthen: 614-519-3994 [email protected] Registration Information: Adults, JOAD Divisions: $50 US if postmarked by midnight Aug 2, 2016 for Individuals, $115 for Family $65 US if postmarked after Aug. 2, 2016 for Individuals, $160 for Family A separate registration form is required for each participant ONLINE REGISTRATION at www.AceArchers.org Registration Fee: Make check payable to: Ace Archers Mail to: Ace Archers 2093 Glouchester Ave. Columbus Ohio 43229 Event Format & Awards: Divisions: Adult and JOAD Divisions (Collegiate, Junior, Cadet, Cub, Bowman, Yeoman & Archer classes) and NASP Dress Code: NAA Dress Code will be enforced for Tournament Competition, per NAA rules. Schedule: Saturday: 11:00–11:45 A.M. Official Practice 12:00 NOON 1st Round

Sunday: 9:00–9:45 A.M. Official Practice 10:00 A.M. 2nd Round

DUEL ELIGIBILITY The following classes will qualify to compete in the Duel—Remember it’s the top 2 Recurves and Compounds for your state that count for the overall score. 1. All Master/Senior/Junior/Cadet Compounds 2. All Senior/Junior Recurves For the First Time we will have a Junior Duel. This will include the top 2 Recurves and top 2 Compounds for your state to count for the overall score. 1. All Junior/Cadet/Cub/Bowman Compounds 2. All Junior/Cadet/Cub/Bowman Recurves Tournament Site: Oregon South Recreation Complex, 5430 Starr Ave., Oregon, Ohio

NEARBY HOTELS

Holiday Inn Express Comfort Inn East-Oregon Maumee Bay State Park Hampton Inn 3154 Navarre Ave 2930 Navarre Ave 1400 State Park Rd. 2931 Navarre Ave Oregon, Ohio Oregon, Ohio Oregon, Ohio Oregon, Ohio 419-691-8800 419-691-8911 866-644-6727 419-724-3333 www.ihg.com/holidayinnexpress/ www.comfotinn.com www.ohiodnr.gov/maumeebay www.hilton.com 2016 NORTHERN REGION CHAMPIONSHIPS DUEL IN THE CORNFIELD August 13 & 14 — Toledo, Ohio Registration form available online at www.AceArchers.org Fill out this form and return with the appropriate fees to Ace Archers, 2093 Glouchester Ave., Columbus, OH 43229 Tournament fee is $50 (individual)/$115 (Family) if postmarked by August 2, 2016; else, it is $65/$160. A separate registration form is required for each participant

NAME:

ADDRESS:

CITY: STATE: ZIP: COUNTRY:

TELEPHONE: E-MAIL:

BIRTH DATE: MEMBERSHIP (USAA /NAA/NFAA/ETC.) Expires:

HOME CLUB: DIVISIONS (Check one in each category) Male Olympic Recurve Compound NASP Female Barebow Crossbow Enclose check payable to: Division/Distances ACE ARCHERS RELEASE OF LIABILITY AND Master +70 Master +60 Master +50 Senior WAIVER 60 meters Rec 60 meters Rec 60 meters Rec 70 meters Rec AGREEMENT 50 meters Comp 50 meters Comp 50 meters Comp 50 meters Comp (All Participants must sign; Parents/Guardians of Minors must 50 meters Comp Collegiate College students sign for youth) 70 meters Rec IN CONSIDERATION of my 50 meters Comp involvement at the 2016 Northern Junior 20th birthday in 2016 or younger Region Championships, I 70 meters Rec acknowledge and agree that: 50 meters Comp Cadet 17th birthday in 2016 or younger (1) I risk bodily injury, 60 meters Rec including paralysis, th dismemberment, Cub Comp – 30 Rec - 50 Both 14 birthday in 2016 or younger disability and death, and th Bowman Comp – 25 Rec - 30 Both 12 birthday in 2016 or younger while particular rules of Yeoman 20 meters only 122cm Both 9th birthday in 2016 or younger my sport, equipment, Archer Not Applicable Both personal training and discipline may reduce this NASP HS 15 meters Both High school risk, the risk of injury NASP MS 15 meters Both Middle school does exist, as well as the risk of damage to or loss of property; (2) I knowingly and freely assume all such risks, both known and unknown, even if arising from negligence of the releasees or others; (3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual or unnecessary hazard during my presence or participation, I will bring such to the attention of the nearest official immediately; and (4) I, for myself and on the behalf of my heirs, assigned, personal representatives, and next of kin, hereby release, indemnify and hold harmless and Ace Archers of Columbus, Ohio, its officers and board members, volunteers, officials, agents, sponsors and/or employees, with respect to any and all injury and loss arising from my participation, whether caused by the negligence of the releasees or otherwise, except that which is the result of gross negligence or wanton misconduct, to the extent permitted by the applicable law.

Participant Signature: Date:

Print Name: FOR PARTICIPANTS OF MINORITY AGE (UNDER 18): This is to certify that, as parent or guardian with legal responsibility for the above participant, I do consent not only to his/her release, but also for myself/ourselves, and my/our heirs, assigns and next of kinds, to release and indemnify the releasees from any and all liability incident to my/our minor child’s involvement as stated above. I have read this Release of Liability and Waiver Agreement, fully understand its terms and sign it freely and voluntarily.

Parent/Guardian Signature: Date:

Print Name: