MUSA-KC Kickball Team Registration Form - DOC - DOC by Caesura


									Saturday, September 26th, 2009 Kendrick Recreation Center (Roxborough, PA) Individual Registration Form
To receive a copy of the official rules, please contact us at or visit our website at Be sure the phone number you list is one where you can be reached in case of cancellations.

1) Personal Information
Name Phone Email ________________________________________

2) Payment
Registration is $12 per person. All individuals on the field, and who wish to partake in the BBQ must be registered. Registration proceeds go to benefit the Variety Children’s Charity of Philadelphia and the Kendrick Rec. Center. Registration fees are non-refundable. The Kiwanis International Charity Kickball Social will take place rain or shine, and refunds cannot be given due to weather conditions. Payment will be accepted in the form of cash or check on/before the event. Please make your check payable to the “University City Kiwanis Club” and include your full name in the check memo field. Mail payment to: KICKS 102-122 Church St., Apt. 308 Philadelphia, PA 19106

3) Waiver
Please include a signed liability waiver with your payment, bring a signed waiver with you to the tournament, OR be prepared to sign a waiver on the day of the tournament. Any individual without a signed liability waiver will not be permitted to participate in the tournament or associated events.

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