Skip to page body Home City Hall Residents Business Visitors Services Weho TV
Survey/Form Review
Through the Trees Disc Golf Tournament
Please complete the registration form for each person.
First name:
Last name:
Gender:
Age: (anyone under 18 must have parental consent):

Contact Information:
Email Address:
Phone:
Street Address:
City:
State:
Zip:
Division:
Emergency Contact:
Name:
Phone:
In consideration for accepting my entry in this tournament, I for myself, my heirs, executors, and administrators, waive and release forever any and all rights and claims for damages I may incur as a result of participating in this event against the organizers and sponsors of this event, the Commonwealth of Virginia, Virginia Highlands Community College, the Virginia Community College System and their respective officers, employees, and agents. I also release the above named for all claims of damage demands, and actions in any manner due to any personal injuries, property damage, or death sustained as a result of my traveling to and from and my participation in said tournament. I attest and verify that I am medically and physically able to participate in this event. In filling out this form, I acknowledge I have read and fully understand my own liability and ability.

By entering my name below, I assert that I have reviewed and agree to all the waivers and agreements I have selected above.

** Parent consent form is required if participant is under 18. Please contact the college at (276)739-2434 for consent form.

Electronic Signature
Date
CAPTCHA code image
Speak the codeChange the code
 
To prevent spam we utilize a verification code system. Please enter the code as it is shown in the box above: