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GFG INDIVIDUAL REGISTRATION FORM

GFG

GLENDALE FRIENDSHIP GAMES 2010
INDIVIDUAL REGISTRATION FORM

3347 N. San Fernando Rd. Los Angeles, CA 90065
Tel. (323) 256-2564 Fax: (323) 256-0639
Web www.ararat.org E-mail info@ararat.org

• Fill it out the registration form completely and sign at the bottom.

• Attach a personal check for the appropriate amount. Make your check payable to “Homenetmen Ararat”.

• Mail the completed registration form and your check to:

Homenetmen Ararat - GFG 2010 Committee
3347 N. San Fernando Rd., Los Angeles, CA 90065
Tel (323) 256-2564

• The deadline for submitting the registration form with your check is October 12, 2010.

PERSONAL INFORMATION

* - required fields (if a field does not apply, enter N/A)

INDIVIDUAL SPORTS


Check each box for appropriate sport and age group. Write the total fees at the bottom.

Sport
Age Group
Check
Fee
Chess
$25
 
Table Tennis
12 & under
See attached
Table Tennis
13-14
See attached
Table Tennis
15-16
See attached
Table Tennis
Open (Advance/Invitational)
See attached
 
Tennis
11-12 / )
$20
Tennis
13-14 / )
$20
Tennis
15-16 / )
$20
Tennis
Open (Advance)
$20
Tennis
Boy's Open
$20
Tennis
Girl's Open
$20
Tennis
Over 35 Men's
$20
Tennis
Women's
$20
Tennis
Men's
$20
Tennis
Men's Double
$30
Tennis
Mixed Double
$30

T-SHIRT SIZE

(Check the size for your free GFG 2010 T-shirt. Check one box only)


I learned about GFG from: *


WAIVER

I understand that part of the risk involved in undertaking any recreational activity is relative to my own state of fitness or health (physical, mental, or emotional) and to the awareness, care, and skill with which I conduct myself in that sport.  I acknowledge that my choice to participate in the GFG brings with it my assumption of those risks or results stemming from this choice and the fitness, health, awareness, care and skill that I possess and use.

I understand that GFG games will be conducted by volunteers who may not be licensed, registered or certified professionals. I accept the fact that in the event of a medical emergency these individuals may render some assistance but they are not licensed practitioners in the medical field. In the event the participant is a minor, it is strongly urged that a parent or a guardian be present during the games to make the appropriate decision in the event of an injury or medical emergency. 

I understand that the dangers and risks from my participation in the GFG may include serious injury to virtually all internal organs and other aspects of the muscular/skeletal system, to other aspects of my body, general health including death. I acknowledge that I am responsible for the injuries I may sustain, that I may cause to others, and damage I may cause to the facilities.

I also understand that I am responsible for my own medical expenses due to an injury sustained while participating in the GFG.   The GFG does not provide any medical insurance coverage for participants.

My name below verifies that I have read, understood, and agreed to the contents of this waiver in its entirety.