30th ANNUAL MUD VOLLEYBALL TOURNAMENT Saturday August 20, 2016

FEES TEAM FUNDRAISING This year, we are highly encouraging each team to raise additional money for MVT. All proceeds raised at MVT support the Epilepsy Foundation of $250.00 before July 20th ’s programs and services.

$275.00 after July 20th  Think about this…... $325.00 day of the event If 200 teams raise $500 each, EFCT will receive $100,000! Mail Completed Forms and check to: It’s easy…..10 people on a team each raise $50 = $500 The Epilepsy Foundation of Connecticut, Ask 1 friend to donate $50 Inc. - 386 Main Street - Middletown, Ask 2 friends to donate $25 Connecticut 06457- 3360 Ask 5 friends to donate $10

The team captain will be sent an email to send to everyone you know  A team must have a minimum of 6 and a asking to help make the lives of people with epilepsy better here in maximum of 8 players on the court, and Connecticut! All donations are tax deductible and stay in Connecticut! may have substitutions on the roster  At least two (2) females must be on the The first 25 teams that raise $125 or more (Our team fundrais- court at all times. ing page, company and personal checks) beyond the entry fee will receive 10 FREE COMMEMORATIVE MVT T-SHIRTS

Top Fundraising Team INFORMATION The team that raises the most money over $1,000 will receive free team NO ALCOHOL ALLOWED PER ORDER OF registration for 2017 tournament. THE MIDDLETOWN POLICE DEPARTMENT MVT CORPORATE  Captains packet and all MVT info can be found at For rules, tournament schedule www.mudvolleyballct.com PACKAGE and other  Registrations must be received in our office by $600.00 per team information visit us at 4:00 pm on August 19 No exceptions! www.mudvolleyballct.com Have your company sponsor and Office will be closed. your team, and get some cool on Facebook  Registration will begin at 7:30 a.m. Games begin at 8:30. Please stuff! Mud Volleyball CT ensure your entire team arrives on time!!  Company logo on back call the  Maximum number of teams - 240 of t-shirts Epilepsy Foundation of  Food vendor on site.  Team Registration Connecticut at 800.899.3745 or  Tournament will be held Rain or Shine.  Banner with company Name email [email protected]  No Refunds After Aug. 5, 2016.  10 Mud Volleyball T-Shirts for more information.  Minimum age for players is 18 years.  Team Photo (8”x10”)  Parking Donation - $3  Deadline: 08/05/2016 NO DOGS ALLOWED! - NO GRILLS ALLOWED! 30th ANNUAL MUD VOLLEYBALL TOURNAMENT TEAM REGISTRATION & ENTRY FORM To enter the tournament, please complete the entry form below and return it with your check for $250.00 Before July 20th; $275.00 after July 20th. It is $325.00 on the day of the event. Mail Completed Forms to: The Epilepsy Foundation of Connecticut, Inc. - 386 Main Street - Middletown, Connecticut 06457- 3360 How did you hear about Mud Volleyball? We hereby agree to indemnify, and hold harmless the Epilepsy Foundation of Connecticut, Inc., LLC d/b/a 102.9 The Whale WDRC-FM, 99.1 WPLR-FM, 95.9 The Fox WFOX-FM, Talk of Connecticut 1360 WDRC-AM, 1470 WMMW-AM, 1240 Radio Facebook Played Before Friend EFCT Website WWCO-AM and 610 WSNG-AM, the Town of Middletown, and other sponsors from and against any and all liability claims of liability, causes of action, expenses (including attorney’s fees), and loss or damage whatsoever relating to the Mud Volleyball Tournament taking place August 20, 2016, regardless of whether any such injury to or death of persons or damages or destruction of property is due or claimed due to any negligence or fault of the aforesaid parties, their directors, officers, employees, agents or invitees. We TEAM NAME we reserve the right to request a name change hereby consent to the use of any photographs or videos taken by the Epilepsy Foundation of Connecticut, Connoisseur Media LLC d/ b/a 102.9 The Whale WDRC-FM, 99.1 WPLR-FM, 95.9 The Fox WFOX-FM, Talk of Connecticut 1360 WDRC-AM, 1470 WMMW- AM, 1240 WWCO-AM and 610 WSNG-AM , and other sponsors on the day of the event in its promotional or fundraising materials, or TEAM CAPTAIN for use on their websites.

TEAM ROSTER (MUST BE COMPLETED) ADDRESS (Please be sure to fill in all required information or the form will be returned)

NAME ADDRESS CITY STATE ZIP CITY

STATE ZIP

PHONE (DAY) (NIGHT)

EMAIL

$ AMOUNT ENCLOSED Make checks payable to: Epilepsy Foundation of CT

Yes, We would like to register for the Corporate Package!! ($600 per team by 8/05/2016)

Name on Banner: ______

______

Name on Back of T-Shirt: ______The first 25 teams that raise $125 or more (Our team fundraising page, company and personal checks) beyond the entry fee will receive ______10 FREE COMMEMORATIVE MVT T-SHIRTS