Bluff City Live

Hurd_Bluff City Live

Bluff City Live
Memphis, TN
July 8th – 10th

Entry Fee
$350/team – 2nd/7U – 8th/14U
$495/team – 9th/15U – 11th/17U
4 Games Guaranteed

Sorry, no refunds within 10 days of event.

Questions?
Coach Hurd – coach.hurd@yahoo.com or 901.438.3598
Coach Kuyper – erniekuyper@yahoo.com or 901.461.7414
Denise Farrell – denise@jseworld.org or 615.593.7189

Some fields are required

Select Your Event:

(Team) Child's Name:

(Team) Child's Gender:

Grade:

Child Jersey Size:

Child Shorts Size:

Are you registering a second child?

Contact Name:

Are you interested in Coaching?

Email:

Address:

City:

State:

Zip:

Phone (ie., 6155551234):

Alternate Phone (ie., 6155551234):

Please rate your child's or team's experience:

Special Requests, Medical, etc. (optional):

Comments:

Release of Liability – Jambalaya Sports & Entertainment, LLC

In consideration for the opportunity to participate in the above activity, the Participant acknowledges and accepts the risks of injury associated with participation in and transportation to and from the activity. The Participant accepts personal financial responsibility for any injury sustained during the activity or during transportation to and from the activity. Further, the Participant promises to indemnify, defend, and hold harmless the activity sponsor or its agents, employees, volunteers, or any other representatives (collectively referred to hereinafter as the “Sponsor”) for any injury related directly or indirectly out of the described activity or transportation to and from the activity, whether such injury arises out of the negligence of the Sponsor or otherwise.

  1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment and personal discipline may reduce this risk, the risk of serious injury does exist; and,
  2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
  3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Company immediately; and,
  4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS JAMBALAYA SPORTS & ENTERTAINMENT LLC, MIDNIGHT BASKETBALL LEAGUE/PROGRAM, INC sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss damage to person or property, WHETHER ARISING FROM NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT, AND AGREE TO IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

By submitting this form, I am accepting the above terms as a Release of Liability

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Mailing address:

JSE, LLC.
P.O. Box 283
Ridgetop, TN 37152

Team Registration




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