GRAPE STOMP REGISTRATION FORM

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$2000 FOR YOUR FAVORITE CHARITY +
tortuga wine dinner for 8 people
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GRAPE STOMP
2016
SAT. APR. 30TH | TORTUGA RUM FACTORY
REGISTRATION FORM
RAISE MONEY FOR THE CHARITY OF YOUR CHOICE!
Presented by:
TEAM CAPTAIN:
PHONE NUMBER:
EMAIL ADDRESS:
TEAM NAME:
CHARITY SUPPORTING:
COMPLETED REGISTRATION FORM & FEES MUST BE DROPPED OFF TO DMS BROADCASTING,
38 GODREY NIXON WAY. MON - FRI FROM 8:30AM - 5:00PM NO LATER THAN APRIL 29,2016
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$2000 FOR YOUR FAVORITE CHARITY +
tortuga wine dinner for 8 people
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GRAPE STOMP
2016
SAT. APR. 30TH | TORTUGA RUM FACTORY
GRAPE STOMP RULES
RAISE MONEY FOR THE CHARITY OF YOUR CHOICE!
Presented by:
1. Each team shall consist of one stomper, two supporters and one swabbie.
(team members may hold different positions in different heats but you may not substitute team members).
2. Stompers must stomp grapes in an upright position, feet must be bare and no hands can be placed on barrels. Stompers must
have bare feet. Nothing may be taped to the feet of stompers.
3. Swabbies will direct the juice into jugs provided.
4. Swabbies will strain the juice at the end of the stomp and transfer it into measuring tubes.
5. Contestants will stomp an equal amount of grapes in a four minute stomp.
6. Stompers may hold on to nothing but your team mates while stomping.
7. Stomping will commence after the official says go and all teams must STOP stomping and collecting when the bell rings for time
up. Any team that stomps early or delays stomping will receive a penalty.
8. The top 2 teams will advance.
9. In the event of a tie, the officials will set a tie breaking protocol.
10. The officials decision is final.
11. Costumes are encouraged.
12. Teams are encouraged to raise Funds for their favourite charity.
Release and Waiver of Liability Form
This Release and Waiver of Liability (the “Release”) is executed on _____________ ___, 2016 by ________________________
(the “Participant”), who releases dms Broadcasting Ltd (the “Contest Organizer”), and any affiliated sponsors, venues and
locations of the Grape Stomp and each of their directors, officers, employees, and agents (the “Affiliates”).
1. I confirm that I am both a legal resident of the Cayman Islands and am at least 18 years of age.
2. I confirm that neither I nor any member of my immediate family is an employee or lives with an employee of the Contest
Organizer OR have been an employee of the Contest Organizer from the period of January 1st, 2015 through April 30th, 2016.
4. Waiver and Release: I, the Participant, release and forever discharge and hold harmless the Contest Organizer, its Affiliates
and any of their successors and assigns from any and all liability, damage, loss, delay, claim or demand of whatever kind or
nature, either in law or in equity, which arises or may hereafter arise wholly or in part, directly or indirectly from my
participation in the Grape Stomp. I understand and acknowledge that this Release discharges the above mentioned from any
liability or claim that I may have against them to the full extent permitted by law.
5. Insurance: I understand that I am responsible for my own insurance coverage in the event of personal injury or illness as a
result of my participation in the Grape Stomp. Further, I understand that the above mentioned does not assume any
responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health or
disability benefits or insurance of any nature in the event of injury, illness, death or damage to my property. I expressly waive
any such claim for compensation or liability on the part of the above mentioned in the event of such injury or medical expenses
incurred by me.
6. Medical Treatment: I hereby release and forever discharge the above mentioned from any claim whatsoever which arises or
may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency
during my participation in the Grape Stomp.
7. Assumption of Risk: I understand that participation in the Grape Stomp may include activities that may be hazardous to me,
and I hereby expressly assume the risk of injury or harm from these activities and release the above mentioned from all liability
for injury, illness, death or property damage resulting from my participation in the activities or occurring while I am participating
in the activities to the fullest extent permitted by law.
8. Rules: I have read, understood, complied with and will comply with the published Official Event Rules of the Grape Stomp
(the “Rules”). I understand that any breach of the Rules will, at the Contest Organizer’s sole discretion, entitle the Contest
Organizer to disqualify me and/or my team.
9. Promotions: I understand and accept that the Contest Organizer and its Affiliates will have the right, without additional
payment or permission, to use my picture, name, age, town of residence and likeness for the purposes of announcing the
winners of the Grape Stomp and for related promotional purposes whether online, in print or in any other media.
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10. Other: As a participant in the Grape Stomp, I expressly agree that this Release is intended to be as broad and inclusive as
permitted by the laws of the Cayman Islands and that this Release shall be governed by and interpreted in accordance with the
laws of the Cayman Islands. I agree that in the event that any clause or provision of this Release is deemed invalid, the
enforceability of the remaining provisions of this Release shall not be affected.
By signing below, I express my understanding and intent to enter into this Release and Waiver of Liability willingly and
voluntarily.
_____________________________________________
Charity Stomping for: __________________________________________________
Team Name
______________________________________________
__________________________
Print Name (Team Captain)
Signed
______________________________________________
__________________________
Print Name
Signed
______________________________________________
__________________________
Print Name
Signed
______________________________________________
__________________________
Print Name
Signed
_________________
Date
_________________
Date
_________________
Date
_________________
Date
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___________________________
Contact number/email address
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$2000 FOR YOUR FAVORITE CHARITY +
tortuga wine dinner for 8 people
M
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BR
OADCAS
TI
N
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GRAPE STOMP
2016
SAT. APR. 30TH | TORTUGA RUM FACTORY
donation pledge form
RAISE MONEY FOR THE CHARITY OF YOUR CHOICE!
Presented by:
TEAM Name:
Name
CHARITY SUPPORTING:
Phone
money sponsored