THE TEXAS TBF FEDERATION

Contestant Information Form for Junior Events

The Texas TBF Federation, Junior Federation, certification and release waiver form for participation in the following tournaments:

Junior Division State Qualifier

Name of Contestant:_________________________________________________________

Address: ________________________________________________________________                                                                         

City:____________________________________________  State: __________ ,

Postal/Zip Code:___________

Telephone Number: (_____) _________________________ 

Birth Date:____________________    Cell #: (_______)  ________________________                                                    

Parent (s) or Legal Guardian name:[print]

_____________________________________

Home Telephone Number: (_____) _________________________ 

Cell Telephone Number: (_____) _________________________ 

Certification and Release Waiver

            I hereby certify that I have read and agree to abide by the official rules for the event and acknowledge that the activities involved are potentially hazardous and I voluntarily assume all risk of injury of damage which I may sustain while participation in the event.

I further release and discharge The Texas TBF Federation, Junior Federation,  It’s officer’s, members, promoters, sponsors and/or hosts from all liability for any such injury of damage whether caused by negligence of such persons and/or entities or otherwise.

Contestant Signature:_________________________________   Date: ______________

Guardian signature   _________________________________    Date: ______________

The above signer, as parents / legal guardians of the above named Contestant, a minor , do hereby ratify and confirm the foregoing certification and release waiver form on the behalf of said minor and do further agree to indemnify and save harmless The Texas TBF Federation, Junior Federation, it’s officers, members, promoters, sponsors and/or hosts from any and all liability, injury or damage sustained by said minor and raising out of said event, whether cause by the negligence of such persons and/or entities or other.