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Portland, Oregon
MOJOS FC
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MOJOS FC Tournament Registration Form
ALL TOURNAMENTS REQUIRE a primary Mojos jersey (yellow) and active OASA (or similar) players card for participation.
Honolulu, Hawaii Tournament REQUIRES BOTH a primary and alternate (white) Mojos jersey for participation.
Go to the TEAM STORE to purchase your Mojos gear and pay your tournament registration fee. Player registrations will NOT be accepted without player fees being paid.
CELL PHONE NUMBERS ONLY ... ON THE FORM ... thanks
Registrant Information
Name:
First
Last
Address:
City, State Zip:
Choose a State
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
Armed Forces Mid East
Armed Forces Americas
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Marshall Islands
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland/Labrador
North Carolina
North Dakota
Northern Mariana Is
Northwest Territories
Nunavut
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Province du Quebec
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
Phone:
Email:
Date of Birth:
ASA Player Card Number:
Tournament:
Please Select
Honolulu, Hawaii
Age Bracket:
Please Select
O50
O60
either O50 or O60
If you are traveling with your spouse or a guest please provide the following information:
Type:
Please Select
Spouse
Guest
Name:
Cell Phone:
Comments:
TERMS OF AGREEMENT
MOJOS FC, INC.
PORTLAND, OREGON
Participant acknowledges that Mojos FC, Inc. (the “Club”) may refuse Participant’s participation for any reason, at its sole discretion.
Participant further acknowledges that his/her participation with the Club is voluntary.
Travel arrangements (including hotels, motels, meals and transportation) (collectively “travel arrangements”) are solely the responsibility of the Participant. The Club shall not be liable for any deficiency or inadequacy in travel arrangements.
You agree to release, defend and hold harmless the Club, its officers, directors, agents, employees, volunteers and their assigns from any claims (whether in tort or contract) from any person, entity or estate, in any forum that may arise by reason of property loss, injury, or death resulting from any cause including but not limited to the Participant or other participants having failed to properly carry out instructions from the Club or its officers, directors, agents, volunteers and/or employees.
I have read and agree to all terms and conditions above
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