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Curwood Festival Table Tennis Tournament

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									                                        Curwood Festival
                                    Table Tennis Tournament
                                             BRACKETED DOUBLE ELIMINATION ROUNDS
                                              May 16 thru May 20 from 6:00 p.m.—10:00 p.m.
                                                                Owosso High School
                                                                     BRACKETS
                                            10 and under thru 66 and older in 5 year increments
                                                                Entry Fee: $10
                                                         Payback: up to 50% by bracket
                                                                 FINALS—JUNE 5
                                                 Last two winners from each bracket will play
                                                    At a location and time to be announced
                                                      For further information contact:
                                                          Dave Gapinski (989) 725-8668

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                                              TABLE TENNIS TOURNAMENT ENTRY FORM
                                                            (Please print)

          Name _____________________________________________________________Age___________

          Phone # (including area code) _________________________________________________________




By signing this form I hereby acknowledge that I or my minor child is voluntarily participating in the 2011 Curwood Festival Table Tennis
Tournament. I will be personally responsible for my own safety during these activities and assume all risk and accept full and complete
responsibility for any and all personal injury of any kind. I am aware that the activities involve risk of bodily injury; I am voluntarily participating in
these activities. Furthermore, in return for the opportunity to participate in this event, I agree for myself, and for my heirs, assigns, executors and
administrators to waive any legal rights I may have to seek payment of any kind from Curwood Festival, its officers, directors, volunteers and
employees or event sponsors and the Owosso Public Schools for bodily injury or death resulting from this activity and to release those parties from
any liability for damages resulting from my injuries or death. This waiver and release applies to injuries from all causes and includes all payments or
legal remedies I might be entitled to from Curwood Festival, its officers, directors, volunteers and employees or event sponsors and the Owosso
Public Schools. I also understand that no insurance coverage is provided by Curwood Festival.


Player Name _______________________________ Minor Child Guardian _____________________________
                     (Please print)                                        (Please print)
Date______________________________


Signature Player/Minor Child Guardian __________________________________________________________
Please return completed entry form with your $10 entry fee by May 6, 2011 to:
Curwood Festival Inc.
Attn: Table Tennis Tournament
PO Box 461
Owosso, MI 48867-0461

								
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