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Full Name (required)

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Shirt-Size (required)

Each player is provided with a FREE event t-shirt. Note that you will be charged $3 additional for 2XL and 3XL sizes. Additional t-shirts may be purchased at a base price of $10 each.

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Participant / Volunteer Liability (enter your name as your signature)* (required)

I, the undersigned, understand that accidents and injuries may occur during participation/volunteering in the 2018 MUDD Volleyball Tournament on July 21, 2018. As a participant or volunteer, or as the parent/guardian of a participant or volunteer, I assume upon myself the risk of injury or worse as a participant or volunteer or being in close proximity to event activities. These might include but not be limited to minor or major lacerations, minor or major contusions, simple or compound fractures, concussion or other head injury, sight loss or impairment. I take upon myself the responsibility to inform the Community Free Clinic of any injury as soon as practical (children should inform tournament personnel immediately). I also agree that I will not permit any person to substitute or otherwise participate or volunteer as a member of my team or crew unless he or she also has signed this waiver. Further, I agree to release and hold harmless the Community Free Clinic, all event sponsors and contributors, event volunteers, employees of participating entities, organizing committee members, Hagerstown Regional Airport, CHIEF, and Washington County Commissioners from any claims, injuries, expenses and losses arising out of my participation or volunteering in this activity. With this signature, I do hereby consent to Community Free Clinic, Inc. the use of my photographic likeness and/or name in the media and other related advertising and informational services. This permission is granted on an ongoing basis unless revoked in writing. **Signature of parent or legal guardian if under the age of 18. If registering another participant besides myself, I certify that I have been given the authority by said participant to register on their behalf.**

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Street Address (required)

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City, State, Zip (required)

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