INTERNATIONAL DODGEBALL TOURNAMENT REGISTRATION FORM

4TH ANNUAL INTERNATIONAL DODGEBALL TOURNAMENT

Date: Sunday, December 6, 2009
Time: 2:00PM - 6:00PM
Place: Walker Fieldhouse
Teams: 8-10 players per team
Cost: $50 early registration fee per team, $60 on-site registration fee per team

All proceeds from this event will go towards funding "Catalyst Service-Learning Trips" to New Orleans, Chicago, Washington D.C., and White Earth (MN) as well as "Pay it Forward Service Road Trip," for Hamline students.

INSTRUCTIONS:

1) Please complete all required fields and submit your teams registration form by Friday, December 4th. Team who register on-site the day of the tournament pay $60.

2)Team Leaders are responsible for ensuring all team members have read and agree to the "Assumptions of Risk and Waiver of Liability." All participants will be asked to sign the waiver form at check-in the day of the tournament.

3) Cash or Check Payments will be accepted and must be delivered to the Bush Student Center Information Desk. Please indicate your team name when submitting a payment. Make Checks Payable to: Hamline University OSLV.

Mail payments to:

MS-A1735
1536 Hewitt Ave
Saint Paul, MN 55104

* Required

TEAM INFORMATION







TEAM ROSTER

Please provide full names for Hamline affiliated team members (students, faculty, staff) in Box #1 and non-Hamline affiliated team members in Box#2 below.