Battle for Oklahoma Highland Games

2017 ATHLETE REGISTRATION FORM

Name: ______________________________________________ Age: _________ Years throwing: _________

Address, City, State, Zip: ____________________________________________________________________________

Home Phone: ______________________ Cell Phone: _______________________________

Mail entry to:
Email: ___________________________________________
Gary Robertson
Clan Affiliation: ____________________________________ 9448 S. Hudson Ave.
Tulsa, Ok 74137
Entry fee: $30.00 Extra T-shirts: $20.00ea
PayPal: fuji219@hotmail.com
T-shirt Size S M L XL 2XL 3XL 4XL
If you have any questions please give me a call at
Fill in the blanks with your best throws this year!
918.346.1506
Breamar Stone __________Open Stone__________ HWFD 28# 42# 56# ___________

LWFD 28# 14# ________________ Heavy Hammer____________Light Hammer___________

WOB 28# 42# 56# ______________ Sheaf 10# 16# 20# ______________

(Circle your class) Women 190s Mens A Mens B Mens C Masters Lads

The Athletics Chairperson Reserves the Right to Place Athletes in the Appropriate Class According to Ability, Age and Sex.
Unsportsman like conduct will not be tolerated for any reason. You will be ejected from the game, and your score void.

I HEREBY, FOR MYSELF, MY HEIRS, EXECUTORS AND ADMINISTRATORS WAIVE AND RELEASE ALL RIGHTS AND CLAIMS FOR DAMAGES I
MAY BE ENTITLED TO AGAINST BATTLE FOR OKLAHOMA, ITS REPRESENTATIVES, AGENTS, SUCCESSORS AND ASSIGNEES, FOR ANY AND
ALL INJURIES SUFFERED BY ME THROUGH PARTICIPATION IN THESE EVENTS. ADDITIONALLY, I AGREE TO BE BOUND BY THE ATHLETIC
RULES AS STATED BY OFFICIALS OF THE HEAVY EVENTS COMPETITION OF BATTLE FOR OKLAHOMA. (RULES USED WILL BE U.S.A.D.)

The Individual/Organization named in this form hereby agrees for itself, its successors and assignees, to indemnify and hold harmless
the Battle for Oklahoma from all claims, lawsuits or any other action for personal injuries, including death, and damages to property,
real or personal, caused by your individual/organization, and/or acts or omissions of Battle for Oklahoma, arising out of your
individual/organization's involvement in the Battle for Oklahoma, and from all judgments and costs incurred in relation to said claims
and lawsuits, and from all expenses incurred in defending said claims or lawsuits. The individual/clan/ society/organization named
herein hereby releases Battle for Oklahoma Highland Games, all Sponsors and Officials, including their agents, from liability, from any
claim it might otherwise have for participating in Battle for Oklahoma, including, but not limited to, any claim for personal injury or
physical impairment or other claim of any type, arising out of participation or involvement in this event. The individual/organization
named herein also agrees to indemnify and hold harmless those released above from any such claims, damages, losses and expenses,
including attorney's fees and all court costs.

I/We, the undersigned, hereby acknowledge receipt and acceptance of the above rules and policies and agree to abide by them. This
registration is submitted for consideration by the Athletic Chairperson of Battle for Oklahoma.

Please Print Name Clearly ______________________________________________________

Authorized Signature _______________________________________________________

Date: __________________
YOUR REGISTRATION IS NOT COMPLETE WITHOUT YOUR SIGNATURE ON THIS PAGE