Cystic Fibrosis Foundation
Volleyball
Fest XIII, August 13, 2005
Waiver/Release Form
As a consideration for my
participation in this event, I agree to indemnify and hold harmless the Cystic Fibrosis
Foundation, City of San Diego, and Robb Field from all cost, expenses, and
liability arising out of my participation in this event to benefit the Cystic
Fibrosis Foundation. I do hereby waive
all claims for damage or loss to my person or property which may be caused by
any act, or failure to act, by the Cystic Fibrosis Foundation, city of San
Diego, Robb Field, their officers, agents or employees arising directly or
indirectly from my participation in this event: and I hereby assume liability
for any loss or damage or other liability from such event. I consent to and permit emergency treatment
if required.
Team Name: Team Skill Level: A B C Novice
Team Captain:
1. Name: name
here Signature: X
Address: address
here City: city here State: CA Zip:
Phone: phone here Work
Phone: E-mail: email
here
2. Name: Signature: X
Address: City: State: CA Zip:
Phone: Work
Phone: E-mail:
3. Name: Signature: X
Address: City: State: CA Zip:
Phone: Work
Phone: E-mail:
4. Name: Signature: X
Address: City: State: CA Zip:
Phone: Work
Phone: E-mail:
5. Name: Signature: X
Address: City: State: CA Zip:
Phone: Work
Phone: E-mail:
6. Name: Signature: X
Address: City: State: CA Zip:
Phone: Work
Phone: E-mail:
In
order to assure your receipt of next years brochure - PLEASE PRINT LEGIBLY
with full address.