Dragon Boat Futsal Tournament

June 19th and 20th, 2010

Fee: $125 per Team
Entry Deadline: June 11, 2010
FORMAT: Each team is Guaranteed a minimum of 3 games
Fee: $125 per team for all Divisions.
Location: Ala Moana Beach Park (Diamond Head Side of Tennis Courts)

Game Times: Saturday 10:00am – 6:00pm

Saturday 10:00am – 6:00pm

Team Name: ________________________Email:__________________________

Team Contact: ___________________________Phone:_____________________
Address ____________________________City:_____________ Zip:___________
Circle one
GIRLS U8 U10 U12 U14
BOYS U8 U10 U12 U14
ADULT OPEN

Number PLAYER NAME BIRTHDATE EMAIL ADDRESS

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Make checks payable to: Popkin

SEND REGISTRATION FORM & TEAM FEES TO: FOR MORE INFORMATION:
Dragon Boat Futsal Tournament e-mail: Jason@DragonBoatFutsal.com
2909 Winam Ave. Suite 1, Honolulu, HI 96816 visit: www.DragonBoatFutsal.com
In consideration of your acceptance of this entry, I, intending to be legally-bound, hereby, for myself, my heirs, executors
and administrators, my players and their families waive and release any and all rights and claims against the County
Honolulu and its officers and employees, the Dragon Boat Festival, Hawaii Street Soccer, The Dragon Boat Futsal
Tournament, the Beach Cities Health District and other sponsors, and representatives of Chambers of Commerce and Cities
staging this event, for damages on account of injuries or death resulting from my participation in this event. I understand
this is an arduous event and hereby certify that we are properly conditioned. I agree to abide by the rules of the event. I/we
also agree to abide by all rules of this event and understand that any violation of the rules will result in disqualification.

Coach/Manager Signature: _____________________________________ Date: _____________________________