Post by fey on Apr 2, 2009 10:06:30 GMT -5
Hi Everyone,
I'm glad to report an earlier notice to this year's Siedde event. It's right outside of Rochester, so I hope lots of you will come out!
-Fey
*You are Cordially Invited to*
*Siedde II*
*June 5-7, 2009*
_--*--_--*--_--*--_--*--_--*--_--*--_--*--_--*--_--*--_--*--_--*--_--*--_--*--_--*--_
Hosted by the Twin Cities Foam Fighting Association/Frozen North
==============================================
Location: Carley State Park
Approximately 15 miles northeast of Rochester, MN, or 4 miles south of Plainview on Wabasha County Road 4.
Troll Hours: 5:30pm-9pm on Friday, June 5; 8am-4pm on Saturday, June 6
Weapons Check: 8:30am-2:00pm on Saturday, June 6
Opening Battle: 9:30am on Saturday, June 6
Exit Park: 10:30am on Sunday, June 7
Entrance Fee: $10.00
This year will include more line battles, feasting, tourneys, and more!
==============================================
Fighters under the age of 16 will not be allowed on the field. Fighters 16-18 must have the attached minor waiver signed *and notarized* in order to fight at this event. Parental notes or non-notarized waivers will NOT be accepted from minors.
The event site includes a large group camping area, a field, a number of beautiful hiking trails, running water, and bathrooms.
Free room and board will be available to guests to/from the event in Minneapolis and St. Paul. Please contact Fey at dolej010@umn.edu if you need crash space.
==============================================
Twin Cities Foam Fighting Association
Waiver and Release (Adult)
In consideration of receiving permission from the Twin Cities Foam Fighting Association and its affiliates (hereafter TCFFA) to participate as a member of the TCFFA and to participate in any activity, event, tournament, contest or meeting that the TCFFA participates in, sponsors, attends, or supervises (hereafter Activity), the Undersigned releases The City of Minneapolis, The City of Saint Paul, The University of Minnesota, The College of St. Catherine, the owners of any premises where any TCFFA activity, event, tournament, contest or meeting occurs, and any other participant, individually, from any and all liability, claims, demands, actions, and causes of action, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the Undersigned, or any property of the Undersigned, while participating in any activity, event, tournament, contest or meeting that TCFFA participates in, sponsors, attends or supervises.
The Undersigned being duly aware of the risks and hazards inherent upon participating in an Activity, elects voluntarily to participate, knowing that participation requires physical contact by others to the person of the Undersigned and knowing that such participation may become hazardous and dangerous during the time that the Undersigned voluntarily assumes all risks of loss, damage, or injury, including death, that may be sustained by the Undersigned, or any property of the Undersigned while participating in any Activity.
The Undersigned, being duly aware that photographs, video, electronic images, and other forms of recording media are often used by individuals to record TCFFA Activities, releases TCFFA from any liability to prevent the publication, distribution, possession, or other use of his or her image alone or in group photos, movies, etc. as above. The Undersigned assumes all responsibility to request from individuals recording TCFFA activities that he or she not be recorded or published if he or she does not want to be. The Undersigned grants that TCFFA or its affiliates may freely distribute any photo, video, etc. as above, of him or her via the TCFFA website (frozennorthmn.com), e-mail, physical print, or any other form of media, and releases all copy right on images of him or her, or taken by him or her.
This release shall be binding upon the distributees, heirs, next of kin, executors and administrators of the Undersigned.
In signing this release, the Undersigned acknowledges and represents:
(a) That he or she has read the above release, understands it, and signs voluntarily;
(b) That he or she is over 18 years of age and of sound mind;
(c) That he or she has no physical or mental defects known to the Undersigned and unknown to the appropriate representative of the TCFFA that would endanger or harm the Undersigned while participating in any activity, event, tournament, contest or meeting that the TCFFA participates in, sponsors, attends, or supervises.
(d) That if he or she should meet with serious accident or illness he or she authorizes treatment by an available physician.
__________________________________________
Undersigned (Print name here)
__________________________________________
Undersigned (Sign name here)
__________________________________________
Address
__________________________________________
City, State, and Zip
(_____)____________________________________
Phone
__________________________________________
E-Mail
Emergency Information
Legal Name (Print): _________________________________________
Character Name: ___________________________________________
Birth Date: ________________________________________________
Telephone#: (______)________________________________________
Mailing Address: ____________________________________________
City:_______________________State:___________Zip:_____________
Email Address:______________________________________________
Emergency Contact Name:_____________________________________
Relationship:________________________________________________
Emergency Contact Phone Number:(_____)________________________
MEDICAL INFORMATION
check if you have had any of the following:
__eyesight impairment __mental/emotional disorder __abnormal blood pressure
__hearing impairment __disease of the ears __speech impairment __arthritis __nervous system disorder __diabetes
__sinusitis __tuberculosis __disease of the kidneys
__hernia __heart disease __hay fever or asthma
__rheumatic fever __intestinal disorders
__other major illnesses:______________________________________________________
________________________________________________________________________
Have you been hospitalized or had a serious injury or illness in the last year? ___YES ___NO
If YES, do you feel this would restrict your participation in TCFFA activities? ___YES ___NO
Approximate Date of Last Tetanus Shot: ____/____/____
List any prescription drugs you take regularly and reason: _______________________________
______________________________________________________________________________
Any drug allergies: ___YES___NO
If yes, please list:________________________________________________________________
______________________________________________________________________________
Any food allergies: ___YES___NO
If yes, please list:________________________________________________________________
______________________________________________________________________________Doctor's Name: _______________________________
Office phone#: (______)_________________________
Twin Cities Foam Fighting Association
Waiver and Release (Minor Aged 16 to 18)
In consideration of receiving permission from the Twin Cities Foam Fighting Association and its affiliates (hereafter TCFFA) for his/her minor child (hereafter “Child”) to participate as a member of the TCFFA and to participate in any activity, event, tournament, contest or meeting that the TCFFA participates in, sponsors, attends, or supervises, the Undersigned releases The City of Minneapolis, The City of Saint Paul, The University of Minnesota, The College of St. Catherine, the owners of any premises where any TCFFA activity, event, tournament, contest or meeting occurs, and any other participant, individually, from any and all liability, claims, demands, actions, and causes of action, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the Child, or any property of the Undersigned or Child, while participating in any activity, event, tournament, contest or meeting that TCFFA participates in, sponsors, attends or supervises.
The Undersigned, being duly aware that photographs, video, electronic images, and other forms of recording media are often used by individuals to record TCFFA Activities, releases TCFFA from any liability to prevent the publication, distribution, possession, or other use of Child’s image alone or in group photos, movies, etc. as above. If The Undersigned does not want Child’s image distribute, Undersigned assumes all responsibility to request from individuals recording TCFFA activities that Child not be recorded or published. The Undersigned grants that TCFFA or its affiliates may freely distribute any photo, video, etc. as above, of Child via the TCFFA website (frozennorthmn.com), e-mail, physical print, or any other form of media, and releases all copy right on images of Child, or taken by Child.
The Undersigned being duly aware of the risks and hazards inherent upon participating in any activity, event, tournament, contest or meeting of the TCFFA, elects voluntarily to allow Child to participate, knowing that participation requires physical contact by others to Child’s person and knowing that such participation may become hazardous and dangerous during the time that Child voluntarily assumes all risks of loss, damage, or injury, including death, that may be sustained by Child, or any property of the Undersigned or Child while participating in any activity, event, tournament, contest, or meeting that the TCFFA participates in, sponsors, attends or supervises.
This release shall be binding upon the distributees, heirs, next of kin, executors and administrators of the Undersigned or his/her minor child.
__________________________________________
Name of Minor Child
__________________________________________
Address
__________________________________________
City, State, and Zip
(_____)____________________________________
Phone
__________________________________________
E-Mail
To Be Completed by Notary
CERTIFICATE OF ACKNOWLEDGMENT
State of ____________________________ County of____________________________
On this day of______________ before me,(print notary name)____________________,
(Print name)____________________________________personally appeared to me (or proved to me on the basis of satisfactory evidence, to be the citizen(s) whose name(s) is/are subscribed to within the instrument and acknowledged to me that he/she/they executed the same in his/her/their individual capacity(ies), and that his/her their signature(s) on the instrument, are the said person(s), or the entity upon behalf of which the citizen(s) acted, execute the instrument.
NOTARY SEAL
Notary's Signature:____________________________________
Expiration Date:______________________________________
In signing this release, the Undersigned acknowledges and represents:
(a) That he or she has read the above release, understands it, and signs voluntarily;
(b) That he or she is over 18 years of age and of sound mind and is the parent or guardian of the minor child named below;
(c) That his/her minor child has no physical or mental defects known to the Undersigned and unknown to the appropriate representative of the TCFFA that would endanger or harm the minor child while participating in any activity, event, tournament, contest or meeting that the TCFFA participates in, sponsors, attends, or supervises.
(d) That if his or her minor child should meet with serious accident or illness he or she authorizes treatment by an available physician.
__________________________________________
Undersigned (Print name here)
__________________________________________
Undersigned (Sign name here)
Emergency Information
Legal Name (Print): _________________________________________
Character Name: ___________________________________________
Birth Date: ________________________________________________
Telephone#: (______)________________________________________
Mailing Address: ____________________________________________
City:_______________________State:___________Zip:_____________
Email Address:______________________________________________
Emergency Contact Name:_____________________________________
Relationship:________________________________________________
Emergency Contact Phone Number:(_____)________________________
MEDICAL INFORMATION
check if you have had any of the following:
__eyesight impairment __mental/emotional disorder __abnormal blood pressure
__hearing impairment __disease of the ears __speech impairment __arthritis __nervous system disorder __diabetes
__sinusitis __tuberculosis __disease of the kidneys
__hernia __heart disease __hay fever or asthma
__rheumatic fever __intestinal disorders
__other major illnesses:______________________________________________________
________________________________________________________________________
Have you been hospitalized or had a serious injury or illness in the last year? ___YES ___NO
If YES, do you feel this would restrict your participation in TCFFA activities? ___YES ___NO
Approximate Date of Last Tetanus Shot: ____/____/____
List any prescription drugs you take regularly and reason: _______________________________
______________________________________________________________________________
Any drug allergies: ___YES___NO
If yes, please list:________________________________________________________________
______________________________________________________________________________
Any food allergies: ___YES___NO
If yes, please list:________________________________________________________________
______________________________________________________________________________Doctor's Name: _______________________________
Office phone#: (______)_________________________
I'm glad to report an earlier notice to this year's Siedde event. It's right outside of Rochester, so I hope lots of you will come out!
-Fey
*You are Cordially Invited to*
*Siedde II*
*June 5-7, 2009*
_--*--_--*--_--*--_--*--_--*--_--*--_--*--_--*--_--*--_--*--_--*--_--*--_--*--_--*--_
Hosted by the Twin Cities Foam Fighting Association/Frozen North
==============================================
Location: Carley State Park
Approximately 15 miles northeast of Rochester, MN, or 4 miles south of Plainview on Wabasha County Road 4.
Troll Hours: 5:30pm-9pm on Friday, June 5; 8am-4pm on Saturday, June 6
Weapons Check: 8:30am-2:00pm on Saturday, June 6
Opening Battle: 9:30am on Saturday, June 6
Exit Park: 10:30am on Sunday, June 7
Entrance Fee: $10.00
This year will include more line battles, feasting, tourneys, and more!
==============================================
Fighters under the age of 16 will not be allowed on the field. Fighters 16-18 must have the attached minor waiver signed *and notarized* in order to fight at this event. Parental notes or non-notarized waivers will NOT be accepted from minors.
The event site includes a large group camping area, a field, a number of beautiful hiking trails, running water, and bathrooms.
Free room and board will be available to guests to/from the event in Minneapolis and St. Paul. Please contact Fey at dolej010@umn.edu if you need crash space.
==============================================
Twin Cities Foam Fighting Association
Waiver and Release (Adult)
In consideration of receiving permission from the Twin Cities Foam Fighting Association and its affiliates (hereafter TCFFA) to participate as a member of the TCFFA and to participate in any activity, event, tournament, contest or meeting that the TCFFA participates in, sponsors, attends, or supervises (hereafter Activity), the Undersigned releases The City of Minneapolis, The City of Saint Paul, The University of Minnesota, The College of St. Catherine, the owners of any premises where any TCFFA activity, event, tournament, contest or meeting occurs, and any other participant, individually, from any and all liability, claims, demands, actions, and causes of action, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the Undersigned, or any property of the Undersigned, while participating in any activity, event, tournament, contest or meeting that TCFFA participates in, sponsors, attends or supervises.
The Undersigned being duly aware of the risks and hazards inherent upon participating in an Activity, elects voluntarily to participate, knowing that participation requires physical contact by others to the person of the Undersigned and knowing that such participation may become hazardous and dangerous during the time that the Undersigned voluntarily assumes all risks of loss, damage, or injury, including death, that may be sustained by the Undersigned, or any property of the Undersigned while participating in any Activity.
The Undersigned, being duly aware that photographs, video, electronic images, and other forms of recording media are often used by individuals to record TCFFA Activities, releases TCFFA from any liability to prevent the publication, distribution, possession, or other use of his or her image alone or in group photos, movies, etc. as above. The Undersigned assumes all responsibility to request from individuals recording TCFFA activities that he or she not be recorded or published if he or she does not want to be. The Undersigned grants that TCFFA or its affiliates may freely distribute any photo, video, etc. as above, of him or her via the TCFFA website (frozennorthmn.com), e-mail, physical print, or any other form of media, and releases all copy right on images of him or her, or taken by him or her.
This release shall be binding upon the distributees, heirs, next of kin, executors and administrators of the Undersigned.
In signing this release, the Undersigned acknowledges and represents:
(a) That he or she has read the above release, understands it, and signs voluntarily;
(b) That he or she is over 18 years of age and of sound mind;
(c) That he or she has no physical or mental defects known to the Undersigned and unknown to the appropriate representative of the TCFFA that would endanger or harm the Undersigned while participating in any activity, event, tournament, contest or meeting that the TCFFA participates in, sponsors, attends, or supervises.
(d) That if he or she should meet with serious accident or illness he or she authorizes treatment by an available physician.
__________________________________________
Undersigned (Print name here)
__________________________________________
Undersigned (Sign name here)
__________________________________________
Address
__________________________________________
City, State, and Zip
(_____)____________________________________
Phone
__________________________________________
Emergency Information
Legal Name (Print): _________________________________________
Character Name: ___________________________________________
Birth Date: ________________________________________________
Telephone#: (______)________________________________________
Mailing Address: ____________________________________________
City:_______________________State:___________Zip:_____________
Email Address:______________________________________________
Emergency Contact Name:_____________________________________
Relationship:________________________________________________
Emergency Contact Phone Number:(_____)________________________
MEDICAL INFORMATION
check if you have had any of the following:
__eyesight impairment __mental/emotional disorder __abnormal blood pressure
__hearing impairment __disease of the ears __speech impairment __arthritis __nervous system disorder __diabetes
__sinusitis __tuberculosis __disease of the kidneys
__hernia __heart disease __hay fever or asthma
__rheumatic fever __intestinal disorders
__other major illnesses:______________________________________________________
________________________________________________________________________
Have you been hospitalized or had a serious injury or illness in the last year? ___YES ___NO
If YES, do you feel this would restrict your participation in TCFFA activities? ___YES ___NO
Approximate Date of Last Tetanus Shot: ____/____/____
List any prescription drugs you take regularly and reason: _______________________________
______________________________________________________________________________
Any drug allergies: ___YES___NO
If yes, please list:________________________________________________________________
______________________________________________________________________________
Any food allergies: ___YES___NO
If yes, please list:________________________________________________________________
______________________________________________________________________________Doctor's Name: _______________________________
Office phone#: (______)_________________________
Twin Cities Foam Fighting Association
Waiver and Release (Minor Aged 16 to 18)
In consideration of receiving permission from the Twin Cities Foam Fighting Association and its affiliates (hereafter TCFFA) for his/her minor child (hereafter “Child”) to participate as a member of the TCFFA and to participate in any activity, event, tournament, contest or meeting that the TCFFA participates in, sponsors, attends, or supervises, the Undersigned releases The City of Minneapolis, The City of Saint Paul, The University of Minnesota, The College of St. Catherine, the owners of any premises where any TCFFA activity, event, tournament, contest or meeting occurs, and any other participant, individually, from any and all liability, claims, demands, actions, and causes of action, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the Child, or any property of the Undersigned or Child, while participating in any activity, event, tournament, contest or meeting that TCFFA participates in, sponsors, attends or supervises.
The Undersigned, being duly aware that photographs, video, electronic images, and other forms of recording media are often used by individuals to record TCFFA Activities, releases TCFFA from any liability to prevent the publication, distribution, possession, or other use of Child’s image alone or in group photos, movies, etc. as above. If The Undersigned does not want Child’s image distribute, Undersigned assumes all responsibility to request from individuals recording TCFFA activities that Child not be recorded or published. The Undersigned grants that TCFFA or its affiliates may freely distribute any photo, video, etc. as above, of Child via the TCFFA website (frozennorthmn.com), e-mail, physical print, or any other form of media, and releases all copy right on images of Child, or taken by Child.
The Undersigned being duly aware of the risks and hazards inherent upon participating in any activity, event, tournament, contest or meeting of the TCFFA, elects voluntarily to allow Child to participate, knowing that participation requires physical contact by others to Child’s person and knowing that such participation may become hazardous and dangerous during the time that Child voluntarily assumes all risks of loss, damage, or injury, including death, that may be sustained by Child, or any property of the Undersigned or Child while participating in any activity, event, tournament, contest, or meeting that the TCFFA participates in, sponsors, attends or supervises.
This release shall be binding upon the distributees, heirs, next of kin, executors and administrators of the Undersigned or his/her minor child.
__________________________________________
Name of Minor Child
__________________________________________
Address
__________________________________________
City, State, and Zip
(_____)____________________________________
Phone
__________________________________________
To Be Completed by Notary
CERTIFICATE OF ACKNOWLEDGMENT
State of ____________________________ County of____________________________
On this day of______________ before me,(print notary name)____________________,
(Print name)____________________________________personally appeared to me (or proved to me on the basis of satisfactory evidence, to be the citizen(s) whose name(s) is/are subscribed to within the instrument and acknowledged to me that he/she/they executed the same in his/her/their individual capacity(ies), and that his/her their signature(s) on the instrument, are the said person(s), or the entity upon behalf of which the citizen(s) acted, execute the instrument.
NOTARY SEAL
Notary's Signature:____________________________________
Expiration Date:______________________________________
In signing this release, the Undersigned acknowledges and represents:
(a) That he or she has read the above release, understands it, and signs voluntarily;
(b) That he or she is over 18 years of age and of sound mind and is the parent or guardian of the minor child named below;
(c) That his/her minor child has no physical or mental defects known to the Undersigned and unknown to the appropriate representative of the TCFFA that would endanger or harm the minor child while participating in any activity, event, tournament, contest or meeting that the TCFFA participates in, sponsors, attends, or supervises.
(d) That if his or her minor child should meet with serious accident or illness he or she authorizes treatment by an available physician.
__________________________________________
Undersigned (Print name here)
__________________________________________
Undersigned (Sign name here)
Emergency Information
Legal Name (Print): _________________________________________
Character Name: ___________________________________________
Birth Date: ________________________________________________
Telephone#: (______)________________________________________
Mailing Address: ____________________________________________
City:_______________________State:___________Zip:_____________
Email Address:______________________________________________
Emergency Contact Name:_____________________________________
Relationship:________________________________________________
Emergency Contact Phone Number:(_____)________________________
MEDICAL INFORMATION
check if you have had any of the following:
__eyesight impairment __mental/emotional disorder __abnormal blood pressure
__hearing impairment __disease of the ears __speech impairment __arthritis __nervous system disorder __diabetes
__sinusitis __tuberculosis __disease of the kidneys
__hernia __heart disease __hay fever or asthma
__rheumatic fever __intestinal disorders
__other major illnesses:______________________________________________________
________________________________________________________________________
Have you been hospitalized or had a serious injury or illness in the last year? ___YES ___NO
If YES, do you feel this would restrict your participation in TCFFA activities? ___YES ___NO
Approximate Date of Last Tetanus Shot: ____/____/____
List any prescription drugs you take regularly and reason: _______________________________
______________________________________________________________________________
Any drug allergies: ___YES___NO
If yes, please list:________________________________________________________________
______________________________________________________________________________
Any food allergies: ___YES___NO
If yes, please list:________________________________________________________________
______________________________________________________________________________Doctor's Name: _______________________________
Office phone#: (______)_________________________
