ATCC FLAG FOOTBALL REGISTRATION FORM

ATCC FLAG FOOTBALL REGISTRATION FORM
ALL participants must complete an individual registration form. Please print clearly. Complete one team entry form per team.
Please Pre-register for Flag Football by bringing forms & payment to BBVA Compass Bank —Alliance
Pre-registration Deadline: February 26th at 1:00 pm. (Space limited-Register Early!)
See 2013 Calendar (Pages 1 & 2) for more details on Registration, or email the Event Director.
Name:_________________________________________________________ Gender: Male: ___ Female: ___
AllianceTexas Company: _________________________________________ Employee: _____ Spouse: _____
Email Address: __________________________________________ Phone Number: ____________________
Participants MUST be an employee or a spouse of an employee of a company located within the AllianceTexas development.
Must be 18 years old or older to play. All participants and/or spouses must have proof of employment and/or residency with the
employed spouse available at the start of any event. Ineligible players will be disqualified with no refund.
Waiver Release and Indemnity
I know that participating in any of these events is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree
to abide by any decision of an official relative to my ability to safely complete an event(s). I assume all risks associated with any event including, but not limited
to: falls, contact with other participants, the effects of weather and high heat or humidity, traffic and the conditions of the road or the grounds. All such
risks having been known to me and appreciated by me. Having read the waiver and knowing these facts, and in consideration for you accepting my entry for
myself and anyone entitled to act on my behalf, I waive, release, discharge, and covenant not to sue any sponsors, the AllianceTexas Corporate Challenge,
Roanoke Parks and Recreation Department, The Golf Club at Champions Circle, Brunswick Lanes, Northwest ISD, Hillwood Development Corporation, their
representatives, agents, successors, and/or assigns from all claims of any kind arising out of my participation in this/these events, even though that liability
may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permissions to all the foregoing to use photographs,
motion pictures, recording or any other record of this event for legitimate purpose. Events will be held regardless of weather conditions.
Signature: __________________________________________________________ Date: ________________
REGISTRATIONS FINAL. NO REFUNDS.
MAKE CHECKS PAYABLE TO: ALLIANCETEXAS CORPORATE CHALLENGE; RETURNED CHECK FEE: $20.
ATCC REGISTRATION FEES - ACCEPTED FROM COMPANIES & INDIVIDUALS
$25 per person for participation in Flag Football
PAYMENT INFORMATION
*MasterCard or Visa only*
___ Company Will Pay OR ___ Cash ___Check __ Credit Card (Please complete form below)
Credit Card #___________________________________ Exp Date: _________ 3-digit Security Code: _______
Name as it appears on card __________________________________________________________________
Billing address_____________________________________________________________________________
Signature if paying by credit card__________________________________________________ Date________
ATXCorporateChallenge.com * Look for The ATCC on Facebook!

ATCC FLAG FOOTBALL TEAM ENTRY FORM
Complete one entry per team.
Team Name: ____________________________________________________
Company: ______________________________________________________
Coach: _________________________________________________________
Coach Phone: ___________________________________________________
Coach Email: ____________________________________________________
Coaches’ Organizational Meeting on Tuesday, February 26th @ 5:00pm.
Pre-register early to secure a spot. Space is limited.
Player
1
2
3
4
5
6
7
8
Name
Male/
Female
9 - Minimum of 8 players on each team—5 will be on the field
10
11
12
13
14
15
16
17
18
19
20