South Western Jell-

Jell-O Tug 2011

Brought to you by the Sports and Entertainment Marketing class

Are you competitive? Do you like Jell-

Jell-O? Then Jell-
Jell-O Tug is the event for you!

Sign up in teams of six to participate in this fast-

fast-paced tournament of Tug-
Tug-of-
of-War!
War! Submit
registration packets by May 2525 to get involved! All registration packet materials must be
complete and $12 team fee must be turned in upon registration. Teams are encouraged to
create and wear their own team t- t-shirts.

Money raised from this event

event will benefit Dollars for Scholars and Alex’s Lemonade Stand.

Important Dates:
Wednesday, May 25 Registration packets due All day Room 209 or cafeteria during lunch
Friday, May 27 Jell-O Tug Event 3:30 PM Tower field (near faculty parking lot)

Jell-
Jell-O Tug Tournament Rules and Regulations
1. South Western student handbook policies apply and will be enforced.
2. School dress code applies and must be followed.
followed.
3. Any unruly/disrespectful behavior by participants is unacceptable and could lead to
disqualification.
4. When the center mark on the rope crosses outside of the set region, the team pulling
it over the region wins.
wins.
5. Team members and captains need to respect the decisions of the Jell-
Jell-O Tug judges.
judges.
6. Interference in the tug-
tug-of-
of-war by non-
non-participants is prohibited.
prohibited.

My team members and I have read and understood these rules and regulations. We
agree to abide by these guidelines and understand that refusal to follow them will result
in the
the disqualification of our team in addition to other consequences if deemed
necessary.

T-Shirts Teams are encouraged to create and wear their own team shirts. T-shirts should provide team
name and be creative! All South Western dress code policies will be enforced.

Participants Each team will be required to pay a $12.00 fee upon registration. This money will cover event
Fee expenses and be donated to Alex’s Lemonade Stand and Dollars for Scholars.

Admission Admission will be free to all spectators. Concessions will be available to participants and
spectators.
 Jell-
Jell-O Tug Registration
Please fill out and return this sheet with your registration fee of
$12.00 by Wednesday, May 25, 2011
My team members and I have read and understood these rules and regulations. We agree
to abide by these guidelines and understand that refusal to follow them will result in the
disqualification of our team.

X
Team Captain's Signature

Team Name

Teams must include three males

and three females. Full Name Period 01 Teacher Cell Phone
Team Captain Male Female

Team Member 01 Male Female

Team Member 02 Male Female

Team Member 03 Male Female

Team member 04 Male Female

Team Member 05 Male Female

Our Jell-O Tug team was recruited by this member of the sports and entertainment marketing class

Please turn in Jell-O Tug Registration packet to a sports and entertainment marketing student or Mrs. Edel in
room 209.

Mitch Fuhrman Allysia Smith

Alexandria Gale Daniel So
Catherine Hallman David Stevens
Ryan Hertzog Brandon Stremmel
Ryan Klinedinst Tyler Suarez
Joshua Lohsl Brandon Utz
Byron Myers Alissa Wagner
Mengting Wang
 Jell-O Tug Liability Form – Team Captain
Student Name Grade

Advisory Teacher Period 01 Teacher

Release and Consent

This form must be read and signed by parents or guardians of every student participating in the Jell-O Tug Tournament.

Student Name Date

I/We do hereby approve of our child participating in the Jello-Tug Tournament on Friday, May 27, 2011. I/We acknowledge that
South Western School District, is not liable for medical expenses, hospital expenses or other such charges incurred for such
services as may be rendered for or on behalf of my our child as a result of injury or sickness.

Child’s Allergies

Child’s Physician

Physician’s Phone Number

Medical Insurance Co. Name

Insurance Company Street Address
City, State Zip
Phone #
Policy #

Parent/Guardian Name
Street Address
City, State Zip
Phone # to be reached during event

Parent/Guardian Signature Date

In case of an emergency please provide an individual that would be responsible for the care of your child.
Emergency Contact Person
Phone #:
 Jell-O Tug Liability Form – Team Member 01
Student Name Grade

Advisory Teacher Period 01 Teacher

Release and Consent

This form must be read and signed by parents or guardians of every student participating in the Jell-O Tug Tournament.

Student Name Date

I/We do hereby approve of our child participating in the Jello-Tug Tournament on Friday, May 27, 2011. I/We acknowledge that
South Western School District, is not liable for medical expenses, hospital expenses or other such charges incurred for such
services as may be rendered for or on behalf of my our child as a result of injury or sickness.

Child’s Allergies

Child’s Physician

Physician’s Phone Number

Medical Insurance Co. Name

Insurance Company Street Address
City, State Zip
Phone #
Policy #

Parent/Guardian Name
Street Address
City, State Zip
Phone # to be reached during event

Parent/Guardian Signature Date

In case of an emergency please provide an individual that would be responsible for the care of your child.
Emergency Contact Person
Phone #:
 Jell-O Tug Liability Form – Team Member 02
Student Name Grade

Advisory Teacher Period 01 Teacher

Release and Consent

This form must be read and signed by parents or guardians of every student participating in the Jell-O Tug Tournament.

Student Name Date

I/We do hereby approve of our child participating in the Jello-Tug Tournament on Friday, May 27, 2011. I/We acknowledge that
South Western School District, is not liable for medical expenses, hospital expenses or other such charges incurred for such
services as may be rendered for or on behalf of my our child as a result of injury or sickness.

Child’s Allergies

Child’s Physician

Physician’s Phone Number

Medical Insurance Co. Name

Insurance Company Street Address
City, State Zip
Phone #
Policy #

Parent/Guardian Name
Street Address
City, State Zip
Phone # to be reached during event

Parent/Guardian Signature Date

In case of an emergency please provide an individual that would be responsible for the care of your child.
Emergency Contact Person
Phone #:
 Jell-O Tug Liability Form – Team Member 03
Student Name Grade

Advisory Teacher Period 01 Teacher

Release and Consent

This form must be read and signed by parents or guardians of every student participating in the Jell-O Tug Tournament.

Student Name Date

I/We do hereby approve of our child participating in the Jello-Tug Tournament on Friday, May 27, 2011. I/We acknowledge that
South Western School District, is not liable for medical expenses, hospital expenses or other such charges incurred for such
services as may be rendered for or on behalf of my our child as a result of injury or sickness.

Child’s Allergies

Child’s Physician

Physician’s Phone Number

Medical Insurance Co. Name

Insurance Company Street Address
City, State Zip
Phone #
Policy #

Parent/Guardian Name
Street Address
City, State Zip
Phone # to be reached during event

Parent/Guardian Signature Date

In case of an emergency please provide an individual that would be responsible for the care of your child.
Emergency Contact Person
Phone #:
 Jell-O Tug Liability Form – Team Member 04
Student Name Grade

Advisory Teacher Period 01 Teacher

Release and Consent

This form must be read and signed by parents or guardians of every student participating in the Jell-O Tug Tournament.

Student Name Date

I/We do hereby approve of our child participating in the Jello-Tug Tournament on Friday, May 27, 2011. I/We acknowledge that
South Western School District, is not liable for medical expenses, hospital expenses or other such charges incurred for such
services as may be rendered for or on behalf of my our child as a result of injury or sickness.

Child’s Allergies

Child’s Physician

Physician’s Phone Number

Medical Insurance Co. Name

Insurance Company Street Address
City, State Zip
Phone #
Policy #

Parent/Guardian Name
Street Address
City, State Zip
Phone # to be reached during event

Parent/Guardian Signature Date

In case of an emergency please provide an individual that would be responsible for the care of your child.
Emergency Contact Person
Phone #:
 Jell-O Tug Liability Form – Team Member 05
Student Name Grade

Advisory Teacher Period 01 Teacher

Release and Consent

This form must be read and signed by parents or guardians of every student participating in the Jell-O Tug Tournament.

Student Name Date

I/We do hereby approve of our child participating in the Jello-Tug Tournament on Friday, May 27, 2011. I/We acknowledge that
South Western School District, is not liable for medical expenses, hospital expenses or other such charges incurred for such
services as may be rendered for or on behalf of my our child as a result of injury or sickness.

Child’s Allergies

Child’s Physician

Physician’s Phone Number

Medical Insurance Co. Name

Insurance Company Street Address
City, State Zip
Phone #
Policy #

Parent/Guardian Name
Street Address
City, State Zip
Phone # to be reached during event

Parent/Guardian Signature Date

In case of an emergency please provide an individual that would be responsible for the care of your child.
Emergency Contact Person
Phone #: