6th Annual GAMECOCKS Charity 3 on 3 Basketball Tournament

A Fundraiser for The Thomas J. Webb Memorial Scholarship Trust & The Canadian Cancer Society

Event Date:     Saturday June 3rd, 2006

Game Time:     Junior Division (Kids Under 14): 10am-12pm, High School Division: 12pm-2pm, Open Social Division: 2pm-4pm

Location:         Royal St. George's College, 120 Howland Ave. in The Annex

Tournament Fee: $50. per player - includes Official Tournament T-Shirt, 3 Game Minimum, Prizes & Awards

REGISTRATION DEADLINE:  WEDNESDAY May 31st!

You may enter a team (4 Players) or enter as an individual and be placed on a team

Open Social Division Post-Tourney Get-Together: 5pm at The Brunswick Avenue Pump (on the north side of Bloor, just west of Brunswick - between Spadina & Bathurst) - Let's meet up there for eats, drinks, NBA play-off action - and take it from there!

REGISTRATION FORM

Name:

Address:

Phone:

email:

Age:

Height:

Division:    Junior Division____    High School Division____    or    Open Social Division____

Highest Level of Competition & Year played?:

How often do you play now?:

Do you still have game?:

Do you have too much game?:

Registration Fee: $50. per player

Method of Payment:    Cheque            Money Order            Cash (in person only)        

Please make all cheques payable to: "Albany Avenue Basketball"

No post-dated cheques please.

I will attend this year, but would also like to make an additional donation of $             . payable to:

____ The Thomas J. Webb Memorial Scholarship Trust

____ The Canadian Cancer Society

I am unable to attend this year, but would like to make a donation of $             . payable to:

____ The Thomas J. Webb Memorial Scholarship Trust

____ The Canadian Cancer Society

Please mail or drop off your complete registration and/or donations to:

The 6th Annual GAMECOCKS Charity 3 on 3 Basketball Tournament

c/o Royal St. George's College, Junior School Office, 

120 Howland Ave., Toronto, ON, M5R 3B5

ATTENTION: Coach Sean Loucks

REGISTRATION DEADLINE: WEDNESDAY MAY 31st

Release and Waiver:

I HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE Albany Avenue Basketball, Sean Loucks, Royal St. George’s College and all other association, coaches, referees, organizers, event organizing bodies, sanctioning bodies, and sponsoring companies and all their respective agents, officials, servants, contractors, representatives, successors and assigns OF AND FROM ALL claims, demands, damages, costs, expenses, actions and causes of action, whether in law or equity, in respect to death, injury, loss or damage to the applicant’s participation in this program whether as a spectator, participant, competitor or otherwise, at any time. AND NOT WITHSTANDING that same may have been contributed to or occasioned by negligence of any of the aforesaid.

This agreement shall bind my heirs, executors, assigns, and representatives. I FURTHER HEREBY UNDERTAKE TO HOLD AND SAVE HARMLESS and AGREE TO INDEMNIFY all the aforesaid from and against any and all liability incurred by any or all of them arising as a result of or in any way connected with the applicant’s participation with Albany Avenue Basketball.

I WARRANT that the applicant is physically fit to participate in and be involved in the basketball program.

BY SUBMITTING THIS APPLICATION, I ACKNOWLEDGE HAVING READ, UNDERSTOOD, AND AGREED TO THE WAIVER, RELEASE AND INDEMNITY.

____________________________________________                         __________________

Signature of Parent or Legal Guardian                                                              Date

_____________________________________________                       ___________________

Signature of Applicant (if applicant is 18 years or older)                              Date