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Entry Fee $2000 CDN.
Send Cheque & Entry form to:

Nipawin "Vanity Cup"
Box 3011, Nipawin, Sk. Canada
S0E 1E0
Ph:(306)-862-7683
Fax: (306)-862-2359
e-mail: jimchute@yahoo.com

Download 2016 Brochure

Download Printable Entry Form PDF

NIPAWIN “VANITY CUP” 2017 ENTRY FORM (Sept 30 and Oct 1/2017)

A PARTNER (Please Print) SIGNATURE

 (By signing this application I hereby submit to a polygraph test if and when directed by the tournament committee)

NAME___________________________________________

MAILING ADDRESS ______________________________________

CITY/TOWN _________________________________

PROV./STATE  __________________

 POSTAL/ZIP CODE __________

E-MAIL ADDRESS ______________________________________________

PHONE – DAYTIME (            ) -              __________ __

PHONE – EVENING (            ) -___________________ _

PHONE – CELL (           ) - _____________________

================================================

B PARTNER (Please Print) SIGNATURE (By signing this application I hereby submit to a polygraph
test if and when
 directed by the tournament committee)

NAME___________________________________________

MAILING ADDRESS ______________________________________

CITY/TOWN _________________________________

PROV./STATE  __________________

 POSTAL/ZIP CODE __________

E-MAIL ADDRESS ______________________________________________

PHONE – DAYTIME (            ) -              __________ __

PHONE – EVENING (            ) -___________________ _

PHONE – CELL (           ) - _____________________

NUMBER OF NON-PARTICIPANTS ATTENDING THE BANQUET FRIDAY,
Friday September 29th, 2017 _____ X $20.00 = _________

Competitors who participated in the 2016 Vanity Cup are eligible for a guaranteed spot in the 2017 Vanity Cup

Entry Fee $2000 CDN.

We will accept a $400 non-refundable deposit with application and a post-dated cheque for $1600 DATED NO LATER THAN JULY 15th, 2017.

SEND CHEQUE OR MONEY ORDER WITH ENTRY FORM TO:

Nipawin “Vanity Cup”

Box 3011, Nipawin, Sk. Canada

S0E 1E0

Ph: (306) 862-7683

Fax: (306) 862-2359

e-mail: jimchute@yahoo.com

Only if deposit and entry fee are received before Jul 15th, 2017.

NO EXEPTIONS!



PARTICIPATION RELEASE – READ BEFORE SIGNING

In consideration of being allowed to participate in any way in the 2016 Vanity Cup The Undersigned, acknowledge,
appreciate, and agree that:

1.         The risk if injury from activities involved in this tournament is significant including the potential for permanent
paralysis and death, and while particular, equipment, and personal discipline may reduce this risk, the risk of injury
does exist:  and

2.        I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE
NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participations;  and

3.        I willingly agree to comply with the stated and customary terms and conditions for participation.  If, however,
I observe any unusual significant hazard during my presence or participation, I will remove myself from participation
and bring such to the attention of the nearest official immediately;  and

I, for myself and on behalf of my heirs, assigns, personal representative and next of kin, HEREBY RELEASE, INDEMNIFY, AND
HOLD HARMLESS Vanity Cup, their officials, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable
owners and lesser of premises used to conduct the event (“Releasees”), WITH REPECT TO ANY AND ALL INJURY, DISABILITY,
DEATH, or loss or damage to person or property WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OT OTHERWISE,
to the fullest extent permitted by law

 

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