Softball Tournament Registration Form - New Settlement Group by wuyunyi

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									                                 Fields of Dreams Tournament
                                    2012 Registration Form
                                Registration Deadline January 31, 2012
    (Note: registration will stay open after 1/31/12 however after this date, we will only accept
                                  teams on a space available basis.)

                                          CONTACT INFORMATION

    Team Name ___________________________________________________________________
    Manager/ Coach Name___________________________________________________________
    Address _______________________________________________________________________

    City ___________________________________ State ____________ Zip Code ______________

    Home Phone _____________________________ Work Phone ___________________________

    E-mail address ________________________________ @ _______________________________
                                                   TEAM MEMBERS
1                                                             9
2                                                             10
3                                                             11
4                                                             12
5                                                             13 (extra)
6                                                             14 (extra)
7                                                             Coach
8                                                             Coach
Please make sure to fill in the appropriate team member sections above

Questionnaire:

    1.   Please tell us how you heard about The Fields of Dreams Tournament/Camp?
         _____________________________________________________________________________________________
         _____________________________________________________________________________________________

    2.   Would your team be willing to play up one age group if needed? (Ex: 13U to 14U) ___Yes      ___No
    3.   Are you interested in getting rooms or RV Space for this tournament? ___Yes         ___No
    4.   Will your team be attending the Saturday night party?       ___Yes          ___No
    5.   Estimate of how many additional members will be attending the Saturday night party.
         __________# of attendees
PAYMENT AND REGISTRATION
Team Registration Fee
Option #1
$350.00, amount paid in full by 1/31/12                                                $________


Option #2

$150.00, Deposit only paid by 1/31/12                                                  $________
If deposit only is enclosed, a balance of $200.00 will be due by 3/1/12
Please Note: Fee includes tournament and Friday welcome party.

Friday Welcome Party (open to all)
Fee                                                                                    FREE
Estimated number of guests attending _________
Beer and wine tickets $2.00 each or a group of 3 for $5.00 if purchased in advance
Number of individual tickets _________ x $2.00 each =                                  $________
or
Number of group of 3 for $5 tickets _________ x $5.00 each =                           $________


The Friday welcome party is open to all teams and guests. Food and soft drinks will be available at our
concession stand. Beer and wine will be available however you will need to purchase your drink tickets
in advance. Tickets will be available at the coach’s lounge during registration or anytime the lounge is
open. We are not allowed to sell beer and wine tickets at the park.

Saturday Night Party Fee, $10.00 per person
Number of Guests _________ x $10.00 each =                                             $________
Beer and wine tickets $2.00 each or a group of 3 for $5.00 if purchased in advance
Number of individual tickets _________ x $2.00 each =                                  $________
or
Number of group of 3 for $5 tickets _________ x $5.00 each =                           $________

The Saturday night party is open to all teams and guests. Food and soft drinks are included however
beer and wine will be available for an additional fee. You will need to purchase your drink tickets in
advance. Tickets will be available at the coach’s lounge during registration or anytime the lounge is
open. We are not allowed to sell beer and wine tickets at the park.

A local Door County restaurant will cater this event. Menu TBD. Please check our website for the
evenings menu.

Deposit of $150.00                                                                     $________
$200.00 balance due by 3/1/12                                                          $________
$50 early bird discount if paid by 12/30/11                                            –$50
Additional fees from above included                                                    $________
TOTAL AMOUNT PAID                                                                      $________

Park rules regarding alcoholic beverages
No glass containers allowed in the parks. 

No alcoholic beverages allowed in the parks without a separate permit.

Please return this form and a signed waiver form with a money order or a check made payable to New
Settlement Group. To receive your $50 discount payment must be received by 12/30/11. Discount will
not apply to any registrations receive after 12/30/12. All registrations after 1/31/12 are accepted on a
space available basis.
Payments are not refundable after May 1st 2012.

Please send your registration and payment to:
New Settlement Group

Mail application form, waiver and payment to:

New Settlement Group
7369 East Prairie Road
Lincolnwood, IL 60712

Questions Email:
tournamentdir@newsettlementgroup.com


ENTRIES: Form, Fee and Closing Date


Option # 1: Teams, submit a completed entry accompanied by the $350 total team entry fee, payable to:
New Settlement Group, no later than 4:30 pm on Tuesday, January 31, 2012.

Option # 2:
Teams, submit a completed entry accompanied by a $150 deposit payable to: New
Settlement Group, no later than 4:30 pm on Tuesday, January 31, 2012. The remaining balance of
$200.00 is due no later than Monday, April 2, 2011.

Only one entry may be filed per team. Teams must mail completed form to: New Settlement Sports
Marketing Group. Late entries will be accepted and placed on an alternate’s list to fill spots if they
become available up until the time that the Tournament Committee establishes final seeding. Entries will
not be accepted unless; they are accompanied by the correct entry fee, check or money order only, no
cash please. Telephone and fax entries will be accepted however your spot will not be guaranteed until
we receive your payment. All checks must be made payable to the New Settlement Group (NSSMG).

WITHDRAWALS-Teems who have applied to participate in the event and wish to withdraw for any
reason MUST notify the NSSMG office by email: tournamentdir@newsettlementgroup.com or by
telephone at 847-677-0542 prior to Monday April 2, 2012. Teams who fail to follow this procedure will
be listed as a NO SHOW. Refer to refund policy.
REFUND POLICY-All payments will be held in an Escrow Account and shall be refunded immediately
should event not occur. Requests for refunds received prior to 4/2/12 will be honored (less $20 per entry
administration fee). Requests received after 4/2/12 will be honored (less 50% of the entry fee). No
requests for refunds will be honored after Tuesday, 5/1/12. 
No fees will be charged if a player change
on a team occurs before the start of the event. In this situation please notify NSSM as soon as possible
with the name of the new player. No refunds will be given once a team starts play under any
circumstances including medical.

RETURN CHECKS 
All checks returned due to insufficient funds will carry a $30.00 service charge.

All team members must review the Waiver and Release of Liability Form to be turned in with the
application packet. All teams must also show proof of insurance and birth certificates for all team
players.
WAIVER AND RELEASE OF LIABILITY

WAIVER AND RELEASE OF LIABILITY (READ BEFORE SIGNING)
In consideration of being allowed to participate in any way in the Softball Tournament, related events and activities, the
undersigned acknowledges, appreciates, and agrees that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis
and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does
exist; and

2. I and those participating in this event, PLAYERS, COACHES, TEAM PARENTS, ETC., are aware of the risks associated
with participating in this event. I agree to explain these risks to all participants and they are all aware of this waiver. I, as well
as a second party, agree to sign on behalf of participants listed in the registration form as we as any other team participants;
and

3. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM
THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and

4. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any
unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the
attention of the nearest official immediately; and

5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND
HOLD HARMLESS THE NEW SETTLEMENT GROUP their officers, officials, agents, and/or employees, other
participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners, and lessor’s of premises used to conduct
the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to
person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY
UNDERSTAND ITS TERMS, UNDERSTAND THAT I AM SIGNING THIS ON BEHALF OR ALL MY PLAYERS AND
PARTICAPANTS, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.


x_____________________________ x_____________________________ DATE
(Managers Signature)           (Team Parent Signature)        SIGNED:____________________

								
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