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Father's Day Registration

 
PAUCA 2015 Father's Day Cricket Event
Registration and Consent Form
 
 
Father's FirstName:
Last name:
Mother's FirstName:
Last name:
Child1 Name:
Child1 Age:
Child2 Name:
Child2 Age:
Child3 Name:
Child3 Age:
Child4 Name:
Child4 Age:
Phone #1:
Phone #2:
EmailAddress:
Human Check Add(6+13+2015):
 
 
CONSENT & LIABILITY WAIVER:

I hereby consent to my family's participation in father's day cricket event with Pennsylvania United Cricket Club (PAUCA). I also agree to forever release the PAUCA a non-profit organization, and their board members, officers, volunteers and any and all individuals and organizations assisting or participating in voluntary Father's day cricket event by PAUCA (“the Releasees”) from any and all claims, rights of action and causes of action,  damages, costs, loss of services,  expenses, compensation and attorney’s fees that may have arisen in the past, or may arise in the future, directly or indirectly, from personal injuries to my family members or property damage resulting from my family's participation in the PAUCA father's day cricket event.

I hereby affirm that my family is in good physical condition to participate in this event. Our participation is purely voluntary and in no way mandated by Pennsylvania United Cricket Association (PAUCA). Also, I understand that we can stop anytime if we feel any discomfort or even without any particular reason.

I also promise, to indemnify, reimburse, defend, and hold harmless "the Releasees" against any and all legal claims and proceedings of any description that may have been asserted in the past, or may be asserted in the future, directly or indirectly, arising from personal injuries to my family members or property damage resulting from my family's participation in the PAUCA father's day cricket event or administration of first aid. PAUCA bears no responsibility whatsoever for any loss which we may suffer during the activities if caused by either our own negligence, inadequacies in health and fitness or by accident.

I hereby declare that I am authorized as the legal guardian/parent to sign this Consent and Release of Liability.I further affirm that I have read this Consent and Release Agreement and that I understand the contents of this Agreement.
 
 

The Pennsylvania United Cricket Association is a project of The Foundation for Enhancing Communities, fiscal sponsor.

Copyright(c) 2013 Pennsylvania United Cricket Association (PAUCA). All rights reserved.

The official registration and financial information of The Foundation for Enhancing Communities may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, 1.800.732.0999. Registration does not imply endorsement.