HERO GAMES

HEROGAMES
June18,12pm–4pm;4thAve
AwardsCeremonytoFollow
TEAMREGISTRATIONFORM
Pleasecompletethisformtoregisteryourteam.Thereisalimitoftwoteamsperorganization.
Allteamsshouldincludeatleastonefemaleparticipant.Pleaseprintyourinformation,being
carefultomakeinformationlegible.Youmustbe18yearsofageoroldertoparticipate.All
participantswillbeaskedtosignaliabilitywaiverandphotoreleaseformpriortocompetition.
DEADLINETOREGISTERISJune3th,2016
Teamname:_____________________________________________________________
Organization:_____________________________________________________________
MailingAddress:__________________________________________________________
Pleaselistteammembers.Eachteammusthaveaminimumof5members(atleastone
female)andnomorethan10.
TeamCaptain’swillmeetJune9hat11a.m.forpre-gamebriefingattheAnchorageDowntown
Partnershipoffice:333W.4thAvenue,Suite317.(Thirdfloorofthe4thAvenueMarketPlace.)
Pleasenote,youcanonlybetheteamcaptain/teammemberofoneteam.
TeamCaptain:___________________________________
Phone:___________________E-mailaddress:________________________________
Alternatecontactperson:________________________Phone:__________________
TeamMembers:
Name:______________________________
Name:______________________________
Name:______________________________
Name:______________________________
Name:______________________________
Name:______________________________
Name:______________________________
Name:______________________________
Name:______________________________
Name:______________________________
Returncompletedformto:
333W.4thAvenue,Suite317,Anchorage,99501
E-Mail:[email protected]
Formoreinformationcontact:SofiaFouquetat279-5655
DEADLINETOREGISTER:JUNE3,2016.
Pleasereturntheregistrationformandwaiver.
2016HeroGames
LiabilityWaiver/ParticipationForm
TeamName:__________________________________________________________________________
Organization:__________________________________________________________________________
Liabilitywaiver:
I,theundersignedHeroGamecompetitor,recognizeandacknowledgethatthereareknownandunknownriskstoperson
andpropertythatareinherentinmyparticipationintheHeroGamesanditsattendantactivities.Ielecttoparticipatein
theHeroGamesandfreelyandvoluntarilyacceptallsuchrisks.Inconsiderationofmybeingacceptedasaparticipantin
theHeroGames,Idopersonallyandindividually,formyself,myheirs,executors,legalrepresentativesandassigns,waive
andreleaseanyandallrightsandclaimsfordamagesorinjuriesthatImayhaveorthatmayariseagainstADPCommunity
Services, Anchorage Downtown Partnership, Ltd., and/or their officers, directors, members, agents and sponsors, and all
otherpersonsandentitiesaffiliatedwiththeHeroGames.Ifurtheragreetoindemnifytheaforementionedandholdthem
harmlessfromandagainstanyandallclaims,liabilities,disputes,lawsuits,actions,andcosts,includingattorney’sfeesand
expenses that in any way may arise out of, relate to, or be caused by my participation in the 2016 Hero Games. I
acknowledge that I am responsible for my own medical care and understand that the Hero Games, its organizers and
sponsorsdonotprovidemedicalorinsurancecoverageformeshouldIbecomesickorinjuredwhileparticipatinginthe
2016HeroGames.
Artisticrelease:
I, the undersigned Hero Games participant, hereby grant permission without additional compensation to ADP
CommunityServices,AnchorageDowntownPartnership,Ltd,andtheirrepresentativesandaffiliatestouseany
and all photographs, motion pictures, video and/or audio recordings of my participation in the 2016 Hero
Gamesforpromotionaland/orcommercialpurposesastheymayseefitintheirsolediscretion.
Signedby:
PrintedName
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
Signature
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________