Questions? Contact Ann Wiley or ) or Tina Fischer or Co-ed teams of 4 players Optional 5 th player to rotate in Teams must consist of a minimum of two ladies, but may consist of all ladies Sand Volleyball Tournament 12 years and up with team restrictions below August 5 th -7 th 2016 During Merrill Farm Fest Weekend Jonesfield Twp. Park, Merrill Friday games start at 6pm, Saturday and Sunday games start at 9am Cost: $10 per person All teams must be registered by July 24 th 2016 Go to Merrill’s School Website ( to print a registration form and personal release forms. Everyone is welcome- so spread the word Co-ed 4 on 4 All proceeds will go to the Merrill Volleyball Program

Team Name:___________________________________________ Contact information: Name:_____________________________________ Address:____________________________________ Phone#:____________________________________ _____________________________________ Alternate Contact Information Name:_____________________________________ Phone#:____________________________________ Player Name (first/Last)Male/FemaleAge 1._____________________________________________________________________________________ 2._____________________________________________________________________________________ 3._____________________________________________________________________________________ 4._____________________________________________________________________________________ 5. (optional)____________________________________________________________________________ Circle Team Skill Level: 1 (Good) 2 (Average) 3 (Novice) Mail completed registration form, personal release forms and payment ($10 per player) to Tina Fischer by July 24th (7447 S. Merrill Rd, St. Charles MI 48655) Checks can be made out to Merrill Volleyball Program Tournament Schedules will be available Sunday July 31st All proceeds will go to the Merrill Volleyball Program Co-ed 4 on 4 Sand Volleyball Tournament Registration Form Please see flyer for information and team restrictions

RELEASE, PERMISSION, AND INDEMNITY AGREEMENT Waiver. In consideration of being permitted to participate in any way in the Co-ed 4 on 4 Sand Volleyball Tournament (“the Tournament”), I, for myself, my heirs or assigns, do hereby release, waive, discharge and covenant not to sue Merrill Farm Fest, The Village of Merrill, Johnsfield Township, Merrill Community Schools, its/their officers, employees and agents from liability from any and all claims resulting in personal injuries, accidents or illnesses (including death) and property loss arising from my participation in the Tournament. Assumption of Risk. Participation in the Tournament carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary, but include 1) minor injuries such as bruises, sprains and dehydration, 2) major injuries such as eye injuries, joint, bone or back injuries, heat stroke, heart attacks, and concussions, and 3) catastrophic injuries such as paralysis and death. I have read the previous paragraphs and I know, understand and appreciate these and other risks that are inherent in playing volleyball. I assert that my participation is voluntary and that I knowingly assume all such risks. Indemnification and Hold Harmless. I also agree to indemnify and hold the Co-ed 4 on 4 Sand Volleyball Tournament harmless from any and all claims, actions, suits, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in the Tournament. _________________________________ __________________________________ ___________ Signature of Participant Print Name of Participant Date __________________________________ __________________________________ ____________ Signature of Parent/Guardian if Minor Print Name of Minor’s Parent/Guardian Date Co-ed 4 on 4 Sand Volleyball Tournament Personal Release Form (1 per player needed)