Liability waiver / informed consent FORM

(filled by captains, signed by all team members)

I, ________________________________, represent team __________________ that have registered to participate in 2016NU STAFF GAMES.

I and my teammates, as indicated below, recognize that the Games may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities. We hereby affirm that each andevery player in the roster is in good physical condition and do not suffer from any known disability or condition which would prevent or limit participation in this tournament.

I and my teammates, as indicated below, acknowledge that our enrollment and subsequent participation is purely voluntary and is in no way mandated by Nazarbayev University and its organizations.

In consideration of our participation in this tournament, I and my teammates, as indicated below, hereby release Nazarbayev University and its agents from any claims, demands, and causes of action as a result of our voluntary participation and enrollment.

I and my teammates, as indicated below, fully understand that we may injure ourselves as a result of our enrollment and subsequent participation in this tournament and we hereby release Nazarbayev University and its agents from any liability now or in the future for conditions that we may obtain. These conditions may include, but are not limited to, heart attacks, strokes, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, injuries to knees or other joints of the body, injuries to back, injuries to a foot, heat prostration, or any other illness or soreness that we may incur, including death.

WE HEREBY AFFIRM THAT WE HAVE READ AND FULLY UNDERSTAND THE ABOVE STATEMENTS.

Signatures of team players:

Football team                     Volleyball team                  Basketball team                 Table Tennis team

1____________________ 1____________________ 1____________________ 1_________________

2____________________ 2____________________ 2____________________ 2_________________

3____________________ 3____________________ 3____________________ 3_________________

4____________________ 4____________________ 4____________________ 4_________________

5____________________ 5____________________ 5____________________ 5_________________

6____________________ 6____________________ 6____________________ 6_________________

7____________________ 7____________________ 7____________________ 7_________________

8____________________ 8____________________ 8____________________ 8_________________

9____________________ 9____________________ 9____________________ 9_________________

10___________________ 10___________________ 10___________________ 10________________

___________________ (Date)

Appendix 5

NU STAFF GAMES

                                                             

REGISTRATION FORM

                                                             

TEAM:
Representative (name, position):	Contact mobile:

Roster:                                    

#	Football Team	Basketball Team	Volleyball Team	Table Tennis
1
2
3
4
5
6
7
8

#	Armwrestling	Chess
1
2

Representative: _______________________________ (signature)