12U AAA EAST COAST NATIONAL ENTRY FORM
2008

PLEASE CHECK APPROPRIATE AGE GROUP

LOCATION OF EVENT Stoney Run Newport News Va. 23608

NAME OF TEAM: ________________________________________ REGISTRATION #:______ ____________
Manager’s Complete Mailing Address Zip
______________________________________________________________________________________
Manager’s Telephone Number (Include Area Code) HOME: __________________ CELL: _ _______________
Manager’s EMAIL: ____________________________ HOTEL & PHONE: ______________ ______________
League Name and City
Current Season’s Record: Won Lost
Current Season’s Championship Won: Attach a separate memo to list your accomplishments:
Enclosed is a cashier/check or money order n the amount of $495.00 to cover our entry fee.

Mail To:Rick Brockwell PO Box 131 Dinwiddle Va. 23841

CODE OF UNDERSTANDING

1. This entry form, along with the entry fee, must be submitted to your Tony Schultz

2. The National Director is under no obligation to accept any entry that arrives after the bracket is drawn.
3. Any team that submits a bad check for payment of entry fee or motel bills will be subject to disbarment.
4. Any team destroying property or involved in theft of motel property will be subject to disbarment.
5. My team stands ready to play on opening night if so scheduled.

RELEASE
I, the undersigned, manager of the team shown on this entry form hereby state that the team represented by its roster, is a voluntary participant in this tournament that is sanctioned by the United States Specialty Sports Association (USSSA). In consideration of this acceptance of our application to participate in said tournament we do hereby release and forever discharge USSSA of and from all liabilities, claims, actions and possible causes of action whatsoever that may accrue to us or to our heirs from every and any loss and injury including death that may be sustained by our person or property while, in about, or route into and away from said tournament. AND WHEREAS, the undersigned is aware of the dangerous nature of our undertaking as it relates to loss of life and/or limb; therefore, it is agreed as follows: That in consideration of being allowed to participate in said tournament, the undersigned team through its manager hereby voluntarily assumes all risks from accident or damage to person or property and hereby releases the USSSA from every claim, liability, or demand of any kind for on an account of any
personal injury or damage of any kind sustained or caused by the negligence of the USSSA, its sponsors or otherwise.
I HAVE READ AND UNDERSTAND THE FOREGOING RELEASE AND CODE OF UNDERSTANDING.
PLEASE SEND ENTRIES TO YOUR STATE DIRECTOR Signed
Team Manager  __________________________________