<p> 2006 NORTH CAROLINA COLLEGIATE FLAG FOOTBALL TOURNAMENT OCTOBER 20 – 22</p><p>Appalachian State University</p><p>Team Entry Form</p><p>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. </p><p>Please Circle One: Men’s Division Women’s Division Co-Rec Division</p><p>College/University : ______</p><p>Team Name: Entry Fee: </p><p>Captains Name: Captains Email: ______</p><p>Address: </p><p>City/State/Zip: </p><p>Phone #: Fax: </p><p>Intramural Sports Director: </p><p>Email: </p><p>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:</p><p>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</p><p>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. </p><p>Signature: Date: (Team Captain) Team Name: Institution:</p><p>Captain’s Phone #: Captain’s Email:</p><p>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.</p><p>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)</p><p>I certify that the above named players are eligible under our university’s intramural rules and regulations.</p><p>Intramural Director</p><p>The University’s Registrar’s seal must be on this form (Registrar’s Seal) to verify enrollment. </p>