THE $15 AT THE DOOR FEE IS WAIVED!!! TEAMS ARE ONLY $50!!!!
Please Fill out and mail checks payable to UNO NSSLHA to:
University of Nebraska at Omaha
6001 Dodge Street
Roskens Hall 512 ATT: NSSLHA
Omaha, NE 68182
Together We Can
Participant Registration and Waiver Form
(Required for each team member)
Participant Name: _____________________________________________________________
Phone Number: __________________________ E-mail Address: ______________________
Team Name: ______________________________ Team Captain Name: _________________
Check one: __ $50 per team (3 player min. for basketball / 4 player min. for volleyball)
Registering at the door: __ $65 per team
___ Basketball ___ Volleyball
T-Shirt Size: XS S M L XL 2XL
**Must be 16 or older to attend Together We Can Tournament.
GOAL – UNO NSSLHA is currently planning a Together We Can fundraiser. The goal of this fundraiser is to raise money for the Autism Society of Nebraska (ASN) and to bring the community together by providing an opportunity to increase awareness through a fun-filled event!
WAIVER – Each Team Member MUST read and sign.
As a participant in Together We Can, I, hereby release and discharge UNO NSSLHA, the event site, their management, their officers, members, organizers, representatives, and all cooperating businesses and organizations from all claims of damages, demands, actions, and causes, in any manner arising or coming from my participation.
I give my full permission for the use of my name and photograph in this event.
I also give my full permission for such that first aid as is deemed necessary to be provided to me on the premises or prior to transport to a hospital for further treatment.
Signature: _________________________________________ Date ____________
*18 and under parent/guardian signature required: ______________________________