2000 Collegiate National Badminton Tournament

Mail Entry w/ fees to: Josh Wong, PO Box 15522, Stanford, CA 94309. Make checks payable to "Stanford Badminton Club". More information at: http://www.stanford.edu/~jhwong/

College: _____________________________________________ Date of Graduation: ________

Last Name: __________________ First Name: __________________ USA Badminton #: _________

Address: _________________________________________________ (if applicable)

City/State/Zip: ____________________________________________ PLEASE PRINT

Phone: __________________ E-mail: __________________________

Please check each event you want to play and your partner’s name if doubles

Event

Yes

NO

Partner’s Name

Amount

Men’s Singles

----- NA -----

$

Women’s Singles

----- NA -----

$

Men’s Doubles

$

Women’s Doubles

$

Mixed Doubles

$

** I request a partner if one is available: Yes/No (circle) Total: $___________

Waiver: Statement of Personal Responsibility

I, the undersigned, who is at least 18 years of age, desire to participate in the Stanford University hosted 2000 Collegiate National Badminton Tournament, and do hereby declare that I have read, understood and accepted the following:

Badminton necessarily exposes participants to risk. There exist inherent safety hazards in the physical activities undertaken by all students and instructors. I am aware of and accept these risks and dangers to life and limb as an unavoidable part of my voluntary participation in the Stanford University hosted 2000 Collegiate National Badminton Tournament. I am at all times responsible for my own safety when I participate in any Stanford activity or outing.

I hereby waive, for myself and for anyone else claiming through me, any and all rights and claims of any nature that I may have against Stanford University, the Office of Student Activities, the Stanford Badminton Club , and any of its participants, for and against any and all injuries or damages of any nature, including death, while voluntarily taking part in a Stanford event.

I agree to pay any reasonable cost to repair or replace any Stanford equipment lost or damaged by myself or through my actions, whether by accident or negligence. The determination of whether to replace or repair damaged equipment shall be made by the Stanford Ford Recreation Center management. I will not be responsible for normal wear and tear on Stanford equipment.

SAFETY IS THE PRIMARY CONCERN OF STANFORD UNIVERSITY. IN SIGNING THIS WAIVER, I ACKNOWLEDGE THAT I AM AT LEAST 18 YEARS OF AGE, AND THAT I CHOOSE TO PARTICIPATE SOLELY AT MY OWN RISK.

________________________________________ ________________________________________

(Signature of participant) (Signature of parent or legal guardian if participant is under 18)

___________________

Date