2006 North Carolina Collegiate

2006 NORTH CAROLINA COLLEGIATE FLAG FOOTBALL TOURNAMENT OCTOBER 20 – 22

Appalachian State University

Team Entry Form

This is to confirm our participation as a team in the 2006 North Carolina Collegiate Flag Football Tournament to be held at Appalachian State University, October 20 – 22, 2006.

Please Circle One: Men’s Division Women’s Division Co-Rec Division

College/University : ______

Team Name: Entry Fee:

Captains Name: Captains Email: ______

Address:

City/State/Zip:

Phone #: Fax:

Intramural Sports Director:

Email:

Registration Procedures: 1. Entries must be post marked on or before September 29 for early registration and no Mail this Team Entry Form and fees to: later than October 16 for late registration. Mandy Adamson 2. Rosters are due at the Captains Meeting. Coordinator for Intramural Sports 3. Fees: Appalachian State University On or before September 29 = $175 ASU Box 32081 September 30 - October 16 = $200 Boone, NC 28608 4. Make checks payable to: University Recreation 5. Any request for a refund must be received by the entry deadline. PLEASE CHECK: ENTRY DEADLINE:

Sept. 29 = $175 MEN 2006 North Carolina Collegiate Flag Football Tournament Sept. 30 - Oct. 16 = $200 WOMEN Hosted by Appalachian State University CO-REC October 20 – 22, 2006

I, (print first and last name) , agree to field a team for the North Carolina Collegiate Flag Football Tournament at Appalachian State University. I will be responsible for following the eligibility rules, my team’s conduct, and making sure my team appears at the tournament. I have informed my players that there are inherent risks involved in participating and that they should have health insurance to cover any possible injury.

Signature: Date: (Team Captain) Team Name: Institution:

Captain’s Phone #: Captain’s Email:

Hold Harmless Agreement The following users will voluntarily participate in a North Carolina Collegiate Flag Football Tournament and use the Intramural Fields on the main campus of Appalachian State University, October 20-22, 2006. I understand the physical nature of the Flag Football Tournament and the substantial potential risks inherent in that activity, including risks of personal injury and death, and property damage or loss. I assume those risks, and I assume sole and full responsibility for my safety during participation in the Tournament and related activities. I also understand and acknowledge that Appalachian State University does not carry insurance covering persons participating in the Tournament, and that I and/or my parents or guardians are responsible for obtaining appropriate insurance to protect me and/or them with respect to the risks involved in my participation in the Tournament. I further agree as a “PARTICIPANT” that photographs, pictures, and videos taken or made by the “SPONSORS”, in connection with the “PARTICIPANT’S” involvement in the event, or a reproduction of the same, as well as the “PARTICIPANT’S” name, may in any manner be used by the “SPONSORS”. I warrant as a “PARTICIPANT” I am in good heath and have no physical condition that would prevent me from participating in the tournament.

Team Roster: NAME (print first and last name) Student ID # Signature 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.(CoRec Only)

I certify that the above named players are eligible under our university’s intramural rules and regulations.

Intramural Director

The University’s Registrar’s seal must be on this form (Registrar’s Seal) to verify enrollment.