2024 Northeast Regional Golf Tournament
2024 Northeast Regional Golf Tournament
We're excited to welcome the Northeast Jamat to the 2024 Northeast Regional Golf Tournament!
Please see the venue and registration details below; please note that meals and accomodations are not included in the registration fee. Recommended accomodations will be shared in the coming weeks.
For any questions, please reach out to
[email protected]
.
Tournament Date(s): June 15-16, 2024
Athlete Registration Fee: $160 (min age: 13 years)
Location: The Shawnee Inn and Golf Resort. 100 Shawnee Inn Dr, Shawnee on Delaware, PA 18356
Deadline: June 3, 2024
Payment is linked to this form, to be paid via credit card via Stripe. If you have any issues with payment, please reach out via email to the AKYSB team. Financial aid is available; see the option in the form below.
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Athlete Information
Name
Name
*
First
Last
Jamatkhana
*
Albany
Boston
Edison
Lake Success
Lancaster
Manhattan
NYHQ
Philadelphia
Poughkeepsie
Richmond
Washington, DC
Westport
Other
Date of Birth
Date of Birth
*
/
MM
/
DD
YYYY
Gender
*
Gender
Male
Female
Country of Origin (check all that apply)
*
Country of Origin (check all that apply)
Afghanistan
Bangladesh
Canada
East Africa
India
Iran
Middle East
Pakistan
Tajikistan
United Kingdom
United States
Other
Contact Phone Number
Contact Phone Number
*
-
###
-
###
####
Email Address
*
Emergency Contact Name
Emergency Contact Name
*
First
Last
Emergency Contact Relationship
*
Emergency Contact Phone Number
Emergency Contact Phone Number
*
-
###
-
###
####
Athlete Questionnaire
Will you be renting golf clubs from the golf course?
*
Will you be renting golf clubs from the golf course?
Yes
No
If you're renting golf clubs, are you:
*
If you're renting golf clubs, are you:
Left-handed
Right-handed
N/A
Golf Polo Size?
*
Small
Medium
Large
X-Large
Parent Waiver Form
If you are registering as a participant under 18 years old as of June 15, 2024, please have a parent fill this waiver out.
Full Name of Parent Completing Waiver:
Full Name of Parent Completing Waiver:
*
First
Last
Parent Waiver Form
CONSENT & RELEASE FORM (MINOR) To be completed by the Parent/Guardian of the participant I, {element_10_1} {element_10_2}, in exchange for my child being given the opportunity to participate in the Northeast Regional Golf Tournament (the “Activity”), hereby give consent and permission for my son/daughter, {element_1_1} {element_1_2}, (“the Participant”) to attend and participate in the Activity on June 15-16, 2024. I, the undersigned, am a parent or legal guardian of the child whose name is printed at the bottom of this agreement (the “Minor”). This agreement is between me (on behalf of the Minor) and JMC (as defined below). In exchange for the Minor being given the opportunity to participate in Sports Tournament (the “Activity”), arranged in whole or in part by Jubilee Monuments Corp, its employees, volunteers, staff, leaders, representatives, agents, and/or affiliates (“JMC”), and all their heirs, executors, successors, representatives, and agents, I agree as follows: 1. The Minor will observe, follow, and comply with all policies, procedures, expectations, rules, regulations, requirements, restrictions, and guidelines set forth for the Activity (the “Rules”), as well as all consequences that result against the Minor due to violation of the Rules, including but not limited to removal from the Activity. I acknowledge that JMC has sole discretion to determine all aspects of the Activity, including the Rules and the consequences for their violation, and to take any actions it deems necessary to ensure the safe and proper conduct of the Activity. 2. I voluntarily and knowingly assume all risks connected with the Activity or the Minor’s participation in the Activity, including but not limited to the risk of loss, property damage, or personal injury, including death, whether involving, in part or in whole, the conduct (including but not limited to the acts, omissions, negligence, gross negligence, fraud, willful misconduct, or otherwise) of JMC. 3. I hereby release and discharge JMC and His Highness Prince Aga Khan Shia Imami Ismaili Council for the United States of America, its regional and local councils, boards, portiolios, affiliates, members, officers, leaders, employees, staff, volunteers, representatives, and/or agents (the “Institutions”) from any and all liabilities, losses, claims, demands, suits, actions, causes of action, damages, expenses, and costs (including but not limited to court costs and atorneys’ fees) whatsoever (“Claims”), arising out of or in connection with any loss, harm, or personal injury, including death, that may be sustained by the Minor or another, or any loss of or harm to property belonging to the Minor or another, and in any way connected with the Activity or the Minor’s participation in the Activity, including but not limited to transportation or lodging, whether involving, in part or in whole, the conduct (including but not limited to the acts, omissions, negligence, gross negligence, fraud, willful misconduct, or otherwise) of JMC or the Institutions. I also covenant not to pursue against JMC or the Institutions any Claims as described in this section. 4. I hereby agree to indemnify and hold harmless JMC and the Institutions for any Claims that it may incur due to the Minor’s participation in the Activity, whether asserted by JMC, the Institutions, or a third party, whether involving, in part or in whole, the conduct (including but not limited to the acts, omissions, negligence, gross negligence, fraud, willful misconduct, or otherwise) of JMC or the Institutions. 5. I hereby consent to any medical treatment which the Minor may need and which arises in connection with the Activity or the Minor’s participation in the Activity; provided, however, nothing in this agreement shall be deemed an obligation by JMC to provide any such medical treatment. I understand that JMC does not carry healthcare insurance that covers the Minor, and I am solely responsible for the cost of all medical treatment. I also authorize JMC to take any measures necessary in its sole discretion to protect the health of safety of the Minor and others, including but not limited to removing the Minor from the Activity and/or informing the Minor’s family members, JMC’s affiliates, and medical or public health professionals of any actual or suspected concerns in connection with the Minor’s physical health (e.g., a communicable disease that may spread to others) or mental and emotional health (e.g., behavior that may cause harm to the Minor or others), and any medical or other information related to such concerns. 6. Except as expressly agreed to in writing by JMC, I will bear all costs relating to the Minor’s participation in the Activity. 7. I grant to JMC and each of its representatives, licensees, assigns, and affiliates, the absolute and irrevocable right, permission, consent, and license to take photographs, videos, and sound recordings of the Minor and/or the Minor’s property during the Activity, and to use, reuse, publish, republish, distribute, and/or modify these photographs, videos, and sound recordings, in whole or in part, individually or in connection with other material, and in any and all media now or hereafter known, and for any legally permissible purpose whatsoever. 8. This agreement is intended to benefit JMC, and the Institutions, who may enforce the terms of the agreement. 9. This agreement shall be binding on behalf of the Minor’s representatives, family members, heirs, successors, assigns, estate, and any other persons or entities claiming through or under the Minor or any of them.. 10. Any controversy or claim arising out of or relating to the Activity and/or this agreement shall, before the filing of a lawsuit or any other legal proceeding, first be submitted for mediation administered by the American Arbitration Association under its Commercial Mediation Procedures. 11. The delay or failure of JMC to exercise any right in connection with this agreement is not to be construed as a waiver of that right. 12. The provisions of this agreement should be applied to the greatest extent allowed by law. In the event that any provision of this agreement is held invalid or without full legal effect, the remaining provisions shall remain in full force and effect. I HAVE READ AND VOLUNTARILY SIGN THIS PARTICIPATION AND RELEASE AGREEMENT AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. I ACKNOWLEDGE THAT I AM AT LEAST 18 YEARS OF AGE AND FULLY COMPETENT, AND THAT I HAVE THE LEGAL AUTHORITY TO SIGN THIS AGREEMENT ON BEHALF OF THE MINOR. Name of Parent/Guardian: {element_10_1} {element_10_2} Date: {TodaysDate}
Draw your signature into the box below.
*
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
Adult Waiver Form
Adult Waiver Form
CONSENT & RELEASE FORM To be completed by the participant (18 years or older) I, {element_1_1} {element_1_2}, in exchange for being given the opportunity to participate in the Northeast Regional Golf Tournament (the “Activity”), hereby give consent and permission for myself to attend and participate in the Activity on June 15-16, 2024. This agreement is between me and JMC (as defined below). In exchange for the being given the opportunity to participate in Sports Tournament (the “Activity”), arranged in whole or in part by Jubilee Monuments Corp, its employees, volunteers, staff, leaders, representatives, agents, and/or affiliates (“JMC”), and all their heirs, executors, successors, representatives, and agents, I agree as follows: 1. I will observe, follow, and comply with all policies, procedures, expectations, rules, regulations, requirements, restrictions, and guidelines set forth for the Activity (the “Rules”), as well as all consequences that result against the Minor due to violation of the Rules, including but not limited to removal from the Activity. I acknowledge that JMC has sole discretion to determine all aspects of the Activity, including the Rules and the consequences for their violation, and to take any actions it deems necessary to ensure the safe and proper conduct of the Activity. 2. I voluntarily and knowingly assume all risks connected with the Activity or the Minor’s participation in the Activity, including but not limited to the risk of loss, property damage, or personal injury, including death, whether involving, in part or in whole, the conduct (including but not limited to the acts, omissions, negligence, gross negligence, fraud, willful misconduct, or otherwise) of JMC. 3. I hereby release and discharge JMC and His Highness Prince Aga Khan Shia Imami Ismaili Council for the United States of America, its regional and local councils, boards, portiolios, affiliates, members, officers, leaders, employees, staff, volunteers, representatives, and/or agents (the “Institutions”) from any and all liabilities, losses, claims, demands, suits, actions, causes of action, damages, expenses, and costs (including but not limited to court costs and atorneys’ fees) whatsoever (“Claims”), arising out of or in connection with any loss, harm, or personal injury, including death, that may be sustained by the Minor or another, or any loss of or harm to property belonging to the Minor or another, and in any way connected with the Activity or the Minor’s participation in the Activity, including but not limited to transportation or lodging, whether involving, in part or in whole, the conduct (including but not limited to the acts, omissions, negligence, gross negligence, fraud, willful misconduct, or otherwise) of JMC or the Institutions. I also covenant not to pursue against JMC or the Institutions any Claims as described in this section. 4. I hereby agree to indemnify and hold harmless JMC and the Institutions for any Claims that it may incur due to the Minor’s participation in the Activity, whether asserted by JMC, the Institutions, or a third party, whether involving, in part or in whole, the conduct (including but not limited to the acts, omissions, negligence, gross negligence, fraud, willful misconduct, or otherwise) of JMC or the Institutions. 5. I hereby consent to any medical treatment which I may need and which arises in connection with the Activity or my participation in the Activity; provided, however, nothing in this agreementshall be deemed an obligation by the Institutions to provide any such medical treatment. I understand that the Institutions do not carry healthcare insurance that covers me, and I am solely responsible for the cost of all medical treatment. I also authorize the Institutions to take any measures necessary in their sole discretion to protect the health of safety of me and others, including but not limited to removing me from the Activity and/or informing my family members, other Institutions, and medical or public health professionals of any actual or suspected concerns in connection with my physical health (e.g., a communicable disease that may spread to others) or mental and emotional health (e.g., behavior that may cause harm to me or others), and any medical or other information related to such concerns. 6. Except as expressly agreed to in writing by JMC, I will bear all costs relating to the participation in the Activity. 7. I grant to JMC and each of its representatives, licensees, assigns, and affiliates, the absolute and irrevocable right, permission, consent, and license to take photographs, videos, and sound recordings of me and/or my property during the Activity, and to use, reuse, publish, republish, distribute, and/or modify these photographs, videos, and sound recordings, in whole or in part, individually or in connection with other material, and in any and all media now or hereafter known, and for any legally permissible purpose whatsoever. 8. This agreement is intended to benefit JMC, and the Institutions, who may enforce the terms of the agreement. 9. This agreement shall be binding on behalf of my representatives, family members, heirs, successors, assigns, estate, and any other persons or entities claiming through or under me or any of them. 10. Any controversy or claim arising out of or relating to the Activity and/or this agreement shall, before the filing of a lawsuit or any other legal proceeding, first be submitted for mediation administered by the American Arbitration Association under its Commercial Mediation Procedures. 11. The delay or failure of JMC to exercise any right in connection with this agreement is not to be construed as a waiver of that right. 12. The provisions of this agreement should be applied to the greatest extent allowed by law. In the event that any provision of this agreement is held invalid or without full legal effect, the remaining provisions shall remain in full force and effect. I HAVE READ AND VOLUNTARILY SIGN THIS PARTICIPATION AND RELEASE AGREEMENT AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. I ACKNOWLEDGE THAT I AM AT LEAST 18 YEARS OF AGE AND FULLY COMPETENT. Name of Participant: {element_1_1} {element_1_2} Date: {TodaysDate}
Draw your signature into the box below.
*
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
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