*Team Contact
*Company
*Company Contact
*Email
*Address
*Phone
*Team Name 25 characters limit
*Team Category Mixed (min. 2 women on field) Male Female
*Playing Time - Choose 1st to 3rd Preference: 11:40am
*12:15pm
*12:45pm
*1:15pm
*Location/Day Langley Park - Tuesday
*Team Member 1
*Team Member 2
*Team Member 3
*Team Member 4
*Team Member 5
*Team Member 6
Team Member 7
Team Member 8
Team Member 9
Team Member 10
COST: Ultimate Frisbee $270. Please note that team entries will only be confirmed on receipt of payment. Cheques are to be made payable to Integral Health and Fitness and can be mailed to: Integral Health and Fitness PO Box 663 Hillarys WA 6923 - OR.... Direct Credit to our account: E-mail for our account. Credit Card (Visa or Mastercard). Phone 9402 5303 to pay by Credit Card.
*CONDITIONS OF ENTRY: All participants should note: It is the responsibility of each participant to ensure they are physically and medically fit to participate in the Corporate Challenge. It is, in the consideration of and as a condition of acceptance of any entry in the Corporate Challenge events for each person, their heirs, executors, administrators and employers hereby waive all and any claim, right of cause of action which they might otherwise have for arising out of loss of life, injury, damage or loss of any description whatsoever which may be suffered or sustained in the course of or consequent upon the persons entry or participation in the event. This waiver, release and discharge shall be and operate separately in favour of all persons, corporations and bodies involved or otherwise engaged in promoting or staging the event and the servants, agents, representatives and officers of any of them. Team entries will only be confirmed on receipt of entry form together with payment. Event rules, fixtures and information will be sent on receipt of entry form. Have FUN, play safely within the rules and within your own physical capabilities. ALL TEAM MEMBERS HAVE READ THESE CONDITONS OF ENTRY AND AGREE WITH THEM.
*Required