here - Epilepsy Foundation of Connecticut

29th ANNUAL MUD VOLLEYBALL TOURNAMENT
Saturday August 15, 2015
FEES
$250.00 before July 10th
$275.00 after July 10th
$325.00 day of the event
Mail Completed Forms and check to: The Epilepsy
Foundation of Connecticut, Inc. - 386 Main
Street - Middletown, Connecticut 06457- 3360
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A team must have a minimum of 6 and a maximum of 8 players on the court, and may have
substitutions on the roster
At least two (2) females must be on the court at
all times.
INFORMATION
NO ALCOHOL ALLOWED PER ORDER OF
THE MIDDLETOWN POLICE DEPARTMENT
Captains packet and all MVT info can be found at
www.mudvolleyballct.com
 Registrations must be received in our office by

TEAM FUNDRAISING
This year, we are highly encouraging each team to raise additional money
for MVT. All proceeds raised at MVT support the Epilepsy Foundation of
Connecticut’s programs and services.
 Think about this…...
If 200 teams raise $500 each, EFCT will receive $100,000!
It’s easy…..10 people on a team each raise $50 = $500
Ask 1 friend to donate $50
Ask 2 friends to donate $25
Ask 5 friends to donate $10
The team captain will be sent an email to send to everyone you know
asking to help make the lives of people with epilepsy better here in
Connecticut! All donations are tax deductible and stay in Connecticut!
The first 25 teams that raise $125 or more (Our team fundraising page, company and personal checks) beyond the entry fee
will receive 10 FREE COMMEMORATIVE MVT T-SHIRTS
Top Fundraising Team
The team that raises the most money over $1,000 will receive a $200 gift
certificate to the restaurant of their choice.
MVT CORPORATE
PACKAGE
$600.00 per team
4:00 pm on August 14
No exceptions!
Office will be closed.
 Registration will begin at 7:30 a.m. Games begin at 8:30. Please
ensure your entire team arrives on time!!
 Maximum number of teams - 240
 Food vendor on site.
 Tournament will be held Rain or Shine.
 No Refunds After Aug. 1, 2015.
 Minimum age for players is 18 years.
 Parking Donation - $3
NO DOGS ALLOWED! - NO GRILLS ALLOWED!
Have your company sponsor
your team, and get some cool
stuff!
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Company logo on back
of t-shirts
Team Registration
Banner with company Name
10 Mud Volleyball T-Shirts
Team Photo (8”x10”)
Deadline: 08/01/2015
For rules, tournament schedule
and other
information visit us at
www.mudvolleyballct.com
and
on Facebook
Mud Volleyball CT
call the
Epilepsy Foundation of
Connecticut at 800.899.3745 or
email [email protected]
for more information.
29th ANNUAL MUD VOLLEYBALL TOURNAMENT
TEAM REGISTRATION & ENTRY FORM
To enter the tournament, please complete the entry form below and return it with your check for $250.00 Before July 10th; $275.00 after July 10th. It is $325.00 on the day of the event.
Mail Completed Forms to: The Epilepsy Foundation of Connecticut, Inc. - 386 Main Street - Middletown, Connecticut 06457- 3360
How did you hear about Mud Volleyball?
Radio 104.1 Facebook Played Before Friend EFCT Website
TEAM NAME we reserve the right
to request a name change
We hereby agree to indemnify, and hold harmless the Epilepsy Foundation of Connecticut, Inc., radio
station Radio 104.1, the Town of Middletown, and other sponsors from and against any and all
liability claims of liability, causes of action, expenses (including attorney’s fees), and loss or damage
whatsoever relating to the Mud Volleyball Tournament taking place August 15th, 2015, regardless of
whether any such injury to or death of persons or damages or destruction of property is due or
claimed due to any negligence or fault of the aforesaid parties, their directors, officers, employees,
agents or invitees. We hereby consent to the use of any photographs or videos taken by the Epilepsy
Foundation of Connecticut, Radio 104.1, and other sponsors on the day of the event in its
promotional or fundraising materials, or for use on their websites.
TEAM CAPTAIN
TEAM ROSTER (MUST BE COMPLETED)
(Please be sure to fill in all required information or the form will be returned)
ADDRESS
NAME
ADDRESS
CITY
STATE
ZIP
CITY
STATE
ZIP
PHONE (DAY)
(NIGHT)
EMAIL
$
AMOUNT ENCLOSED
Make checks payable to: Epilepsy Foundation of CT
Yes, We would like to register for the Corporate
Package!! ($600 per team by 8/01/2015)
Name on Banner: _____________________________
____________________________________________
Name on Back of T-Shirt: _______________________
____________________________________________
The first 25 teams that raise $125 or more (Our team fundraising page, company
and personal checks) beyond the entry fee will receive
10 FREE COMMEMORATIVE MVT T-SHIRTS