Gaming Tournament Registration Form
Name
First Name
Last Name
Age
Number
Email
example@example.com
Choose Gaming Option:
Madden (PS4)
NBA 2K (PS4)
Mortal Kombat (XBOX)
Please read this form carefully and be aware in registering for participation in the above program(s), you will be waiving and releasing all claims for injuries or thief you might sustain arising out of the above program(s). In consideration of the benefits to be derived there from, I release the City of Jackson, Mississippi, or any agents or servants of and from all claims, demands, damages, actions or causes of action, either at law or equity of every nature and kind. I, the undersigned, verify the above information as being true and correct. I understand that any misrepresentation of any of the above information can result into a disqualification from participation. Sign and date below:
Register
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