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2011 Liberty Fest Entry Form

* — Information is required.

* Team Name
Jersey Colors
* Contact Person

You must provide at least one contact phone number:
Phone (Day)
Phone (Evening)
Phone (Mobile)
Fax
* E-mail
* Address

* City

* State

* Zip Code

Division:
Male
Co-Ed

All entries are subject to field availability and availability of spots for the division entered.

Will you need hotel rooms for your team? Yes   No

Youth/Adult Entry: The entry fee for any Adult or Youth team is $390 ($350 prior to April 1) per team. Entry Deadline for each tournament is 2 weeks prior to the first day of the tournament. Any entry accepted after the Entry Deadline will be charged a $25 late entry fee. Any Entry Fee accepted after an Entry Deadline must be a money order, cashiers check, or credit card.
Adult Competitive Entry: $490 ($450 prior to April 1) - The entry fee for an Adult Competitive team is $490 ($450 prior to April 1). $100 from each entry will go towards the prize money for the Adult division. Entry Deadline for each tournament is 2 weeks prior to the first day of the tournament. Any entry accepted after the Entry Deadline will be charged a $25 late entry fee. Any Entry Fee accepted after an Entry Deadline must be a money order, cashiers check, or credit card.

Promo Code (if applicable):

You must select at least one tournament. Any entry and withdrawal shall be subject to the policies and procedures of PrimeTime Sports.

May 28-29, 2011 Liberty Fest (Youth/Adult Entry) $390
May 28-29, 2011 Liberty Fest (Adult Competitive Entry) $490
Mail all Entry Forms, Rosters and Entry Fees to:

PrimeTime Sports
Care of Jeff Chase
2601 Churchill Road, Suite 100
Flower Mound, Texas 75028

972-355-3788 ext.2

Scheduling Requests

Scheduling requests are accepted, but not encouraged. The scheduling requests will be considered and addressed on a first submitted, first considered basis. The earlier a request is submitted and the more specific and narrow the request, the greater the likelihood the request may be accommodated. All requests must be submitted below or by email to football@primetimesportz.com or by fax to 972-874-2565. Phone requests can not be considered.

The Scheduling Request:

Is a condition of the team's participation. If it cannot be met, the team cannot participate. If selected, this may prohibit the acceptance of your entry.
Allows players/coaches to avoid conflicts or assists in travel from outside the area, but team will participate even if the request cannot be met.

Circumstances creating need for request:

Specific times the team cannot play:

[this information must be included in Entry Form transmitted by email to PTS upon submission]

Roster and Participation Agreement

For questions on player rules, see 7 on 7 Tournament Rules

In consideration of being allowed to participate, each participant and their legal representative, waive all claims for injury, accident or loss of any kind and hereby release PrimeTime Sports, LLC, all tournament sites, sponsoring organizations, and their employees, members and representatives from any claims or liability. As further consideration to participation, each participant and their legal representative consents to PrimeTime Sports taking photographs and video of participants at event sites, and PrimeTime Sports retains the right to use any such video or photographs for publicity and advertising. This Agreement shall apply and extend to any and all events of PrimeTime Sports, LLC, held from August 1, 2009 through July 31, 2010.

Head Coach

Ass't Coach
Player #1 Jersey #
Player #1's Address:
City: State: Zip:
Player #2 Jersey #
Player #2's Address:
City: State: Zip:
Player #3 Jersey #
Player #3's Address:
City: State: Zip:
Player #4 Jersey #
Player #4's Address:
City: State: Zip:
Player #5 Jersey #
Player #5's Address:
City: State: Zip:
Player #6 Jersey #
Player #6's Address:
City: State: Zip:
Player #7 Jersey #
Player #7's Address:
City: State: Zip:
Player #8 Jersey #
Player #8's Address:
City: State: Zip:
Player #9 Jersey #
Player #9's Address:
City: State: Zip:
Player #10 Jersey #
Player #10's Address:
City: State: Zip:
Player #11 Jersey #
Player #11's Address:
City: State: Zip:
Player #12 Jersey #
Player #12's Address:
City: State: Zip:
Player #13 Jersey #
Player #13's Address:
City: State: Zip:
Player #14 Jersey #
Player #14's Address:
City: State: Zip:
Player #15 Jersey #
Player #15's Address:
City: State: Zip:
Player #16 Jersey #
Player #16's Address:
City: State: Zip:
Player #17 Jersey #
Player #17's Address:
City: State: Zip:
Player #18 Jersey #
Player #18's Address:
City: State: Zip:
Player #19 Jersey #
Player #19's Address:
City: State: Zip:
Player #20 Jersey #
Player #20's Address:
City: State: Zip:

As coach, I will accept full responsibility for the conduct of my players, coaches, and fans on and off the field and will promote only the best sportsmanship among all of us, win or lose. I further agree that my players, coaches, fans and I will be bound by the Rules and Policies of PrimeTime Sports, LLC.


By submitting this Entry, you are agreeing on behalf of the team named to participate in and pay the entry fee for the tournaments selected. To withdraw from a tournament, you must advise the National Office by fax or email. Any entry and withdrawal shall be subject to the policies and procedures of PrimeTime Sports.

To complete your entry, you must:

Mail entry fee payment to PrimeTime Sports Care of Football, 3207 Justin Road Suite A, Flower Mound, TX 75028. The entry fee must be received within 5 business days to hold your entry in the tournament. If the entry fee is not received within this time period, your entry, at the option of PrimeTime Sports, may be deemed to be a withdrawal, subject to the policies and procedures of PrimeTime Sports.

Submission of your entry will take you to a page that you must print and have the players' parents sign. This Participation Agreement must be received prior to play.






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