Maryland Mayhem | Registration

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Register For The Maryland Mayhem Weekend

First Name

Last Name

Email

Country Code

Phone

Emergency Contact Full Name

Country Code

Emergency Contact Phone

Emergency Contact Relation To You

Will you be attending the Maryland Foam Tournament on Friday April 14th?

By checking this box I agree that I have read the release of liability for the Maryland Foam Tournament and consent to the terms of participation in the event. View release of liability

Has your team registered for the Maryland Foam Tournament yet?

Yes

No

What is your Team Name

Will you be attending the UMBC HvZ on Saturday April 15th?

Yes

No

By checking this box I agree that I have read the release of liability for the UMBC HvZ and consent to the terms of participation in the event.View release of liability

Will you be attendng the 11th Hour Blaster Battle on Sunday April 16th?

Yes

No

By checking this box I agree that I have read the release of liability for the 11th Hour Blaster Battle and consent to the terms of participation in the event.View release of liability

Are you at least 18 years of age or older?

Yes

No

Parent or Guardian First Name

Parent or Guardian Last Name

Parent or Guardian Email

Parent or Guardian Country Code

Parent or Guardian Phone

Minor's Date of Birth

By checking this box you and all other parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.

Your Signature

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The Maryland Foam Alliance is Southern Maryland House of Nerf LLC product.

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