Jack Attack Boccia Tournament (April 11-12)- Athlete Registration

* Required Fields
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Fee: $75.00
Please be sure to register each person for the event as there are limited spots available. 
*First and Last Name
*Email
*Phone Number
*Zip Code
*Classification:
If you will be competing with a ramp operator or sport assistant, please list their full name here: 
Full name of ramp operator or sport assistant:
All coaches, athletes, ramp operators, and sport assistants must have a current USA Boccia membership at the time of registration. Current USA Boccia membership is required for tournament eligibility.
*Do you have a current USA Boccia membership?
*Are you a veteran?
 Yes 
 No 
Don't type in this field
*Emergency Contact Full Name
*Emergency contact phone number
Allergies:
Dietary restrictions or preferences:
Accommodation Requests:
Accessible shuttle service will be available to provide transportation between the airport, hotel, and venue. If you will be flying in for the tournament, will you be needing shuttle services? 
*
Vehicle Transportation Liability Release
If "Yes" was selected for needing vehicle transportation, read the release below carefully and check the box to indicate your agreement.
The undersigned hereby waives and releases the City of Columbus, Ohio, all of its departments and divisions, and all of its employees, agents, or other representatives from any loss, claim, cause of action, damage, or liability whatsoever, whether without limitation strict or absolute liability in tort or by statue imposed, charge, cost or expense, including without limitation, attorney’s fees, to the extent of any damage or loss to property or injury or death of any person that may occur while in connection to the undersigned’s participation without limitation from being a passenger in or physically in proximity to any City-owned or operated vehicle, equipment or other City property.
The undersigned hereby expressly and specifically assume the risk of injury or harm related to being a passenger in or physically in proximity to any City-owned or operated vehicle, equipment, or other City property and releases the City of Columbus from all liability for injury, illness, death and property damage resulting from the activities. In no event shall the undersigned be considered an officer, employee, agent, or other representative of the City of Columbus.
Further, the undersigned hereby agrees to indemnify the City of Columbus, all of its departments and divisions, and all of its employees, agents, or other representatives against any monetary award, both compensatory and punitive or equitable relief by a judge or jury that may result from damages or loss to persons or property sustained while participating in this activity.

I have read, understand, and agree to the terms and stipulations of this waiver and release of liability.

*Vehicle Transportation Liability Release
 I have read, understand, and agree to the terms and stipulations of this waiver and release of liability. 
Photo Release Waiver: I authorize the City of Columbus to use my own or my child's photograph for public relations purposes (i.e. brochures, newsletters, website, etc.)
*Photo Release Waiver:
Participant/Parent/Guardian Release
Read carefully the below release, and check the box for your agreement.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any and all injury to my child(ren) or myself including, but not limited to, personal injury, disability, and/or death , illness, damage, loss, claim, liability, or expense of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at City of Columbus Recreation and Parks programs. On my behalf, and on behalf of my child(ren), I hereby release, covenant not to sue, discharge and hold harmless City of Columbus employees, agents and representatives, volunteers and program participants and their families of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto.

*Participant/Parent/Guardian Release
 I have read and fully understand the release form. 
Total Due:
$ 
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