2022 Athlete Registration

2022 Athlete Registration Form
By clicking "agree" below, I understand that completing the written portion of the application does not signify my successful registration. A successful registration will end with either a PayPal receipt or email confirmation. If I do not receive either one, it is MY RESPONSIBILITY to contact registration.eusa@homenetmen.org before the set deadlines. Failure to do so will result in an incomplete application and forfeiture of my ability to participate in the games.
*

Agree Disagree
Late Registration Deadline is June 27, 2022

ALL Late Registrations are subject to approval by Regional Executive. Submission of this form does NOT guarantee your participation.

You can complete this form on your mobile device or computer.

Here is what you'll need to proceed:
- 10 minutes
- Active Homenetmen membership
- Passport style photo ready (could be on your phone gallery)
- Medical insurance information, if you have insurance
- Review Zero Tolerance Policy and Consent and Liability Wavier
- Parent or Guardian if you are under the age of 18
- Credit Card information
A registration fee of $250 is required to submit your registration.

No registrations will be accepted after June 27, 2022.

ALL Late Registrations are subject to approval by Regional Executive. Submission of this form does NOT guarantee your participation.*

*Registration fee will be refunded in case of registration disapproval

All information is sent via a secure connection through our embedded form
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State

Zip Code Country
Date of birth (All ages will be verified, any discrepancies may result in disciplinary action against the athlete) *

Month Day Year
DateOfGames

Month Day Year
Age
Gender *

Male Female
E-mail *

Confirmation Email
Homenetmen requires a mode of communication to send you important announcements such as general meetings and membership fees due. If you're interested in emails about Homenetmen events and our email newsletter select one of the first two options.
Communication Preference *

Sign me up for chapter news and events Sign me up for chapter and regional news and events Only email me important announcements and notices Only send me important announcements and notices via traditional mail
Phone Number *
Player Pass Photo Guidelines: Look, we can get really technical here but we prefer to keep everyone's life simple. Please upload a current photo of yourselves with a neutral background that covers at least your shoulders and above.

If you need some inspiration, here are the US Passport guidelines: Click here for examples

For large files, it make take a few seconds to upload.
Photo *
Chapter *
If you have any techinical difficulities throughout the registration process please email registration.eusa@homenetmen.org

Medical Insurance Information
Do you have insurance? *

Yes No
By choosing "No" above, you are waiving any insuarance liability. Homenetmen general liability insurance is not suitable for medical insurance.
Emergency Contact - Full Name *
Relation *
Emergency Contact Phone Number *
Name of Insurance
ID #
Group
Subscriber Name
Relation to Subscriber
List of Medications
Allergies
If you have any techinical difficulities throughout the registration process please email registration.eusa@homenetmen.org

Waivers
Please note that all participants will be required to review and agree to the below policies and consent forms. All the documents are published and available online at www.navasartianeusa.com/policies.

Homenetmen reserves the right to disqualify any individual or team not adhering to these policies.
Homenetmen Eastern Region Inc. and the hosting Homenetmen Chapter will enforce the following Zero Tolerance Policy for the Homenetmen 30th Annual Eastern USA Navasartian Games. The Zero Tolerance Policy will be in full force and effect upon arrival to the Navasartian Games, and will remain in effect until departure.

The Zero Tolerance Policy will be strictly enforced:

· On and off the field;
· Before, during, and after all social events; and,
· In your room and throughout your stay at the hotel

All athletes, including Homenetmen members and any guests, whether or not they are participating in any events, will be held to a strict code of conduct. Conduct that will result in the immediate expulsion from the remaining social or athletic events includes, without limitation:
- Use of foul language, or language as determined by the Navasartian Games Steering Committee, Regional Athletic Committee, or the Eastern Regional Executive, to be inappropriate;
- Intentional or reckless damage caused to private or public property;
- Possession or use of any illicit drugs or controlled substances;
- Inappropriate involvement in any verbal or physical altercation on or off the field, or involvement in conduct that in any manner is deemed unbecoming or inappropriate by the Navasartian Games Steering Committee, Regional Athletic Committee, or the Eastern Regional Executive;
- Any person under the age of 21 who is in possession of or under the influence of alcohol.
The games will be conducted in a mature and family-oriented manner.

A non-deputized security force will be on hand throughout the event-, including but not limited to at all athletic functions; on all floors of the hotel and lobby area; and, at all social events. We have also communicated with the local police, who will be on call if a situation warrants it.

I, the undersigned, have read and agree to the above Zero Tolerance Policy
Zero Tolerance Policy *

I, the undersigned, have read and agree to the above Zero Tolerance Policy
If you have any techinical difficulities throughout the registration process please email registration.eusa@homenetmen.org

Consent and Liability Waiver
In consideration of my participation in the 2022 Homenetmen Eastern USA Navasartian Games, I hereby waive any claim that I may have for damages for death, personal injury or property damage which I may sustain as a result of my participation in these activities. This waiver and release is intended to discharge in advance Homenetmen Boston, Homenetmen Eastern Region Inc. and their agents and sponsors from and against any liability, past present and future, including any claim based on negligence, arising out of or connected in any way with my participation in the athletic practices and competition, except for the liability that may arise out of willful or intentional misconduct of Homenetmen Boston or Homenetmen Eastern Region Inc. and their agents and sponsors.

I further understand that sporting events involve physical contact between players, that serious accidents occasionally occur during such sporting activities and that participants in such sporting activities occasionally sustain serious personal injuries (including death) and/or property damage. As a consequence thereof, knowing the risks of participation, nevertheless, I agree to participate.

I hereby agree to assume all risks from participation in any Homenetmen athletic activities, and to release and hold harmless Homenetmen Boston, Homenetmen Eastern Region, Inc. and their agents and sponsors.

I attest that I am eighteen (18) years or older, or if under the age of 18, as certified and agreed to by my legal guardian/parent, and I am physically fit and have no known medical conditions that prohibit my participation in the Navasartian Games and the associated events. I agree to follow all laws, rules, and guidelines regulating the conduct of the Navasartian Games and the associated events.

I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between me and Homenetmen Boston, Homenetmen Eastern Region Inc., and their agents and sponsors and I have signed it of my free will.

I also agree that Homenetmen Boston, Homenetmen Eastern Region Inc., their agents, and sponsors may use my photograph in future promotions.
Consent and Liability Waiver *

I, the undersigned, have read and agree to the above Consent and Liability Waiver
Parent or Guardian Full Name

First Name Last Name
Parent or Guardian E-mail
Parent or Guardian Phone Number
Parent or Guardian Date of Birth

Month Day Year
Parent or Guardian Signature

Clear
If you have any techinical difficulities throughout the registration process please email registration.eusa@homenetmen.org

Form Submission and Payment
You're almost done!

Once you press Submit you will be redirected to our payment processor, PayPal, to pay the Athletic Fee. Do not close this window until you have completed your payment online.

Please Note: If you do NOT pay the Athletic Fee on PayPal's website after submitting this form, your application will not be submitted.

Also Note: If you did not get a confirmation email or receipt the registration did not go through - please contact registration.eusa@homenetmen.org with any questions.
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Athlete Late Registration Fee $ 250.00

Total $ 0.00
If you have any techinical difficulities throughout the registration process please email registration.eusa@homenetmen.org
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2022 Athlete Registration Form

Late Registration Deadline is June 27, 2022

Medical Insurance Information

Sports

Waivers

Consent and Liability Waiver

Form Submission and Payment