Dodgeball Registration Form

 2014 DODGEBALL SPRING SMASH Amateur

Tournament of Champions

Registration Form

Team Details: 7–10 people on a team (i.e. 6 starters and 1 alternate needed if injury or absence occur) each team must have 6 players start on the court. All teams must be in uniforms. Mouth guards & goggles are recommended during game play.

Tournament winners: 1st place prize $1,000 / 2nd place prize $300 / 3rd place prize $200.

For most creative uniforms: Additional prizes will be awarded for 1st, 2nd, 3rd and 4th place.

Team Name *
E-mail: *
Phone: *
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Emergency Contact Phone: *
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Emergency Contact (under 18) Parent Guardian: *
Team Captain: *
Teammate #2:
Teammate #3:
Teammate #4:
Teammate #5:
Teammate #6:
Teammate #7:
Teammate #8:
Teammate #9:
Teammate #10:

Date: March 14 and 15, 2014

Friday 5pm – 10 pm

Saturday 8am – 10pm


Location: MSD Education Center (Old South High School)
815 S. Oakdale Ave
Medford, OR 97501

Deadline to Register: Teams must submit their final Roster,Registration,Liability Waiver, and Code of Conduct forms with full payment by Sunday March 9th, 2014

Team Cost: $250 per Team (7-person minimum). Checks made payable to:

Rogue Promotions
255 Mt. Echo Dr.
Medford OR, 97504

No Refunds
Food and Drinks will be sold at the tournament

 See Rules/Code of Conduct and Liability Waiver Forms on additional pages……

All must be signed and turned in by Deadline.