Midwest Youth Tournaments - Event Registration

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MYT "Tournament of Champions"
Event Type:	School Team Tournament	Location:	Twin Lakes Recreation Center
Date(s):	Jan 21, 2023 - Jan 22, 2023	City, State:	Bloomington, Indiana
Age/Grades:	2nd - 8th Grade Boys and Girls School Teams	Entry Fee:	$225
Min Games:	3 Game Guarantee - 2 Pool Games Saturday w/ All Teams Advancing to Seeded Single Elimination on Sunday

Enter Team/Player Information

Team Name:

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Coach/Contact:

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Address:

City:

State:

Zip Code:

Work Phone:

Home Phone:

Cell Phone:

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Fax:

Email Address:

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Team Gender:

Boys

Girls

Grade:

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Comments:

Player Instructions: To add player information, click the Edit button in the first column of the grid. Once you have entered a player's information, click the Update button. Continue doing this for each player in each subsequent row. If you have more than 12 players, you can add a new row by clicking New Row at the top of the grid.

New Row

Player Name

Age

Birth Date

Grade

Medical Release / Agreement of Terms

Medical Waiver and Release of Liability

Medical Waiver and Release of Liability (This form must be signed by the parent/guardian of each player before player is eligible to participate in tournament )I, the above signed, hereby authorize any first aid, medication, medical treatment or surgery deemed necessary in case of an emergency for the above player Midwest Youth Tournaments tournament play. I, the above signed, in consideration of the players participation in Midwest Youth Tournaments tournament, intending to be legally bound, do hereby ourselves, executors, and administrators waive, release, and forever discharge any and all rights and claims for damages, including any claims for loss, damages or injury to our persons or property arising out of the above player's performance or failure of performance from the Midwest Youth Tournaments, their agents, representatives, successors and assigns.

Agree To Terms

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Agree To Terms - Digital Signature

As Coach/Team Representative, I certify that the information within is correct to the best of my knowledge. I understand that should a protest arise concerning the eligibility of any players participating on my team, that it will be necessary that proper documentation (i.e. Birth Certificate, Report Card) be made available verifying the playerï¿½s eligibility in the age group in which that player is participating. It is understood that should one of my players be found ineligible, that the player will not be able to continue participating in the tournament. I understand that the team I represent is responsible for proof of insurance coverage.

Agree To Terms

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Please Enter Representative Name:

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Security Verification

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Mail Roster and Entry Fee (Cashiers Check or Money Order Payable) to Midwest Youth Tournaments

Minimal charge may apply for refund request

Midwest Youth Tournaments
17 Connor Ct.
Bedford, IN 47421