Tucson Interactive Sports, LLC

Tournament Registration Agreement Tournament Date: November 12, 2011

To register:
Please mail this completed form, along with a check in the amount of thirty-five ($35) dollars, made payable to Tucson Interactive Sports, LLC to: Tucson Interactive Sports, LLC c/o Jon DeVries 5417 E. Holmes St. Tucson, AZ 85711 HOLD HARMLESS AND INDEMNIFICATION AGREEMENT: I agree to assume the risk for any injuries, including death and/or serious bodily harm, which I may sustain during my participation in activities, athletic or otherwise, organized and conducted by Tucson Interactive Sports, LLC. Further, I agree to indemnify and hold harmless Tucson Interactive Sports, LLC, its trustees, officers, members, and agents from all costs and expenses including, but not limited to, attorney's fees, arbitration fees, and/or any other sum(s) which Tucson Interactive Sports, LLC, its trustees, officers, members and agents may pay or become obligated to pay for any injury and/or damage to property resulting from my participation in any activities. In addition, I hereby grant full permission to Tucson Interactive Sports, LLC, its trustees, officers, members, and agents to use my name, likeness, and voice, as well as any photographs, videotapes, motion pictures, recordings, or any other record of this event in which I may appear. Any claim or controversy arising out of or relating to this Agreement, or the breach thereof, shall be settled by arbitration administered by the American Arbitration Association in accordance with its Commercial Arbitration Rules [including the Emergency Interim Relief Procedures], and judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof. The arbitrator's decision shall be final and legally binding. Each party shall be responsible for its share of the arbitration fees in accordance with the applicable Rules of Arbitration. In the event a party fails to proceed with arbitration, unsuccessfully challenges the arbitrator's award, or fails to comply with the arbitrator's award, the other party is entitled to costs of suit, including a reasonable attorney's fee for having to compel arbitration or defend/enforce the award. Any matter regarding payment of fees, including but not limited to bounced checks or other invalid methods of payment, may be litigated in small claims court or another appropriate venue by Tucson Interactive Sports, LLC, its trustees, officers, members, and agents. The laws of the State of Arizona shall apply to any arbitrated or litigated matter.

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I further agree that if any part of this Agreement is invalidated by law or otherwise, all other parts of this Agreement shall remain valid and enforceable. A copy of this Agreement shall have the same force and effect as the original. We reserve the right to refuse service and/or payment to/from anyone. I acknowledge that I have read and understand the complete contents of this Agreement and have voluntarily and knowingly signed it. Name of Participant: ___________________________________________________________ Participant Signature: __________________________________________________________ Participant Birth Date (MM/DD/YR): _____________________________________________ Date: ________________________________________________________________________ Phone: (______) _______________________________________________________________ Email: _______________________________________________________________________ Address: _____________________________________________________________________ City: _____________________________ State: ______ Zip: ___________________________ My Partner Is: ______________________________________________________________ OR

□ I Need a Partner (please provide me one, if possible)

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