TYLER WECHSLER FOUNDATION
CORNHOLE REGISTRATION
Player Name
*
First Name
Last Name
Player Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Team Name
*
Email Player 1
*
example@example.com
Email Player 2
*
example@example.com
Are you affiliated with a cornhole league?
*
Yes
No
If you answered yes to the question above, which league?
*
I hereby authorize the staff Tyler Wechsler Foundation to act for me according to their judgement in any emergency situation requiring medical attention. I hereby acknowledge that participation in this clinic, as in any sport, may result in accidents and/or injuries. Even though I know risks are involved, I hereby give my approval for the above names players to participate in all activities. I expressly assume all risks and hazards incidental to such participation and do hereby waive, release, absolve indemnity and agree to hold harmless the Tyler Wechsler Foundation Cornhole Tournament, its staff, suppliers, sponsors, and participants for any claim arising out of illness or injury to said player regardless of the cause.
*
I Agree
Payment Information:
Cost is $100 per Team and $20 for BBQ only (Processing fee included). Please choose how you would like to pay, finish completing the form and click "Submit". Thank you!
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Cornhole Team Entry
Cornhole Tournament + BBQ & Beer
$
110.00
BBQ Only
BBQ & Beer
$
25.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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