Join us for a SAVI FEST, All-Valley Improv Community Kickball Tournament. Folks are invited to join us on Sunday, November 19th for a Potluck lunch, followed by a massive Kickball game. Bring some delicious food to share with everyone or just bring yourself. Bring friends, bring family and be sure to submit below if you’re A) bringing food and/or B) planning to play kickball so we can assign you a team! Payment after submitting is optional and can be customized. We are asking for a minimum $5.00 suggested donation to play, and welcome folks to come and watch for free. We’ll have information about our upcoming volunteer opportunities and leadership will be there to answer all your questions. This event is a fundraiser and all proceeds after event costs will go toward our festival needs.

We’re excited for this All-Valley Improv community event and can’t wait to see everyone!

KICKBALL PARTICIPATION FORM

Please submit for every participant in your group.

Participant Name *

if you are under 18, a parent must submit this form for you. They will add their name at the end.

Your Participation *

Playing

Watching

NIckname (Kickball All-Star name)

i.e. Jacque "Swing & Miss" Arend or

Email *

Kickball Comfort Level (we will balance the teams for maximum awesomeness)

I'm pretty good at Kickball.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Pronouns

What might you bring to the Pot Luck to share?

This is optional and not required to participate in the event. We have volunteer Chris Hooper managing what folks are bringing to ensure we have a nice spread!

Liability Waiver & Photo Release *

Release of Liability: ⦾ In permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, agents, family, guardians, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of SAVI FEST, any claims or damages for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity. ⦾ THE FOLLOWING ENTITIES OR PERSONS: SAVI FEST and its, directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors; (B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this Release from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence or fault of SAVI FEST. I acknowledge that SAVI FEST and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any third party or entity conducting a specific activity for SAVI FEST. ⦾ Acknowledgment of Risk: I recognize and understand the dangers, hazards, and risks associated with participation in the sponsored event. I understand that the event could include serious or even fatal injuries and voluntarily assume those dangers, hazards, and risks. ⦾ Fitness to Participate: I hereby represent that I am physically and mentally able to participate in this event and that I have no health problems or physical or mental conditions that would present a risk to me or to others. ⦾ Photo Release: I understand while participating in this activity, I may be photographed or filmed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the Festival organizers, and their successors and/or assigns. C) I, THE UNDERSIGNED PARTICIPANT, ACKNOWLEDGE AND AGREE THAT MY CONTACT INFORMATION (TELEPHONE NUMBERS, EMAIL ADDRESSES, PHYSICAL ADDRESSES) MAY BE DISTRIBUTED AND RELEASED IN ORDER TO COORDINATE Festival ACTIVITIES. I, THE UNDERSIGNED participant, ALSO ACKNOWLEDGE AND AGREE THAT MY PHOTOGRAPHS, AUDIO-ONLY TRACKS, AUDIOVISUAL IMAGES, MAY BE DISTRIBUTED AND RELEASED IN ORDER TO PROMOTE Festival ACTIVITIES. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS DOCUMENT IS A RELEASE OF LIABILITY AND I SIGN IT OF MY OWN FREE WILL.

I have read, understand and agree.

I am 18 and older *

Yes

Parent/Guardian Name

If the participant is under 18 years of age, please have the parent/guardian of the individual type there name below. By doing so, you the parent or guardian of the participant, are signifying that you agree to these terms on behalf of a minor.

First Name

Last Name

Thank you!

Improv Utopia is SAVI FEST 2024’s fiscal non-profit and all donations are paid to that organization and 100% tax deductible.