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Team Registration

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Register Your Team!

Follow these instructions:

  1. Read the Tournament Rules and Information (Word) (PDF) .
  2. Complete and submit the form below.
  3. Pay your registration fee. The registration fee is $160 per team.

What Happens Next :

  • After you click the "submit" button, you will be immediately returned to this page. There will be no confirmation page.
  • You should receive an e-mail confirming your registration and reminding you to pay your registration fee.
  • Information about your first game and court assignment will be sent no later than August 4th. This information will also be posted online beginning on August 4th.

REMEMBER: Your team is not registered until your registration fee has been paid and your registration form submitted. If you have questions, contact us at (815) 964-2689.

Team Name:
Alternate Team Name:
Captain Name:
Address 1:
Address 2:
City:
State:
Zip:
Daytime Phone:
Email:

WAIVER: I hereby certify that I am a voluntary participant in the Mud Volleyball Tournament; that I realize said program is being offered to me, knowing full well that I may attend and participate in any activities conducted by said program or not, as I myself decide. I further certify that I hereby release and forever hold harmless from any claim, cause or suit, against the Epilepsy Foundation of North/Central Illinois and all sponsors and/or parents or employees, which may arise out of my participation in said program. I assume all physical risks inherent therein. I have read the foregoing release and waiver and do clearly understand the same. I have also read the foregoing release and waiver to the team, and they do clearly understand the same. Team Captain assumes all responsibility for players named and/or unnamed.

All players will be required to sign waivers on the day of the tournament. Each team must supply two people from their team to referee when their team is not playing but is still in the tournament.

Acknowledgements:
I have read the above waiver.
I have read the rules and information.
Comments:
NOTE: There will be no confirmation page after you click "Submit". You will be immediately returned to this page. You will receive a confirmation e-mail.
Copyright © 2007 Epilepsy Foundation North/Central Illinois, Iowa, Nebraska. All rights reserved.
An Independently Incorporated Affiliate of the Epilepsy Foundation of America