R E G I S T R A T I O N   F O R M
"Eat Your Young" Indoor Ultimate Tournament
January 2, 2010, 2 PM - 7 PM
Fieldhouse, Shelburne, VT

Personal Information
Last Name:
First Name:
Date of Birth (mm/dd/yy):
Gender: male female
Email Address:

Shirts
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Waiver & Release

I acknowledge that by participating in EYY indoor Ultimate tournament, I will be engaging in activities that involve risk of serious injury, including permanent disability and death. I accept responsibility for the damages resulting from such an injury. If I observe any unusual significant hazard while participating, I will remove myself from participating, and bring the hazard to the attention of a staff member of the tournament.

   
I accept    I decline

Form Submission & Payment
There are two steps to the registration system:

Step 1: Fill out and submit this registration form;

Step 2: Pay.

After clicking the "Submit Form" button below, you will be redirected to a payment page.