Please enable JavaScript in your browser to complete this form.12Registration Information3Releases and WaiversCrewmember Name as on Passport *FirstLastT-shirt SizexssmallmediumlargeXLXXLBirthdate *Age on Jan 1, 2023 *Not older than 12 on 1/1/23 for Junior Division Not older than 17 on 1/1/23for Varsity Division Not older than 17 on 1/1/23 for JV MegaCrewCrew Member Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeUnited KingdomAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryMobile PhoneCrewMember Email address must be your own. *EmailConfirm EmailWe need UNIQUE email addresses for each crewmember.DivisionJuniorVarsityAdultMiniCrewJV MegaCrewMegaCrew________________________AN ENTRY FORM MUST BE COMPLETED AND SIGNED BY EACH CREWMEMBERTHE DEADLINE TO REGISTER IS June 17, 2023 - ENTRIES RECEIVED AFTER June 17, MAY INCUR A $100 LATE FEENote:Your Crew Entry Form Is Automatically Shared with your crew leader. CREW INFORMATION:Junior Crew Name *Junior Crew CrewLeaders Name *FirstLastJunior Crew CrewLeader Email *EmailConfirm EmailVarsity Crew Name *Varsity Division CrewLeaders Name *FirstLastVarsity Division CrewLeader Email *EmailConfirm EmailAdult Crew Name *Please insure correct crew name spellingAdult Division CrewLeaders Name *FirstLastAdult Division CrewLeader Email *EmailConfirm EmailMiniCrew Name *Please insure correct crew name spellingMiniCrew Division CrewLeaders NameFirstLastMiniCrew Division CrewLeader Email *EmailConfirm EmailJV MegaCrew Name *Please insure correct crew name spellingJV MegaCrew Division CrewLeaders NameFirstLastJV MegaCerw Division CrewLeader Email *EmailConfirm EmailMegaCrew Division CrewLeaders NameFirstLastMegaCrew Name *Please insure correct crew name spellingMegaCerw Division CrewLeader Email *EmailConfirm EmailComplete WaiversRegistration FeePlease contact your crewleader about registration fees and/or discounts if participating in multiple crews.REGISTRATION FEES FOR THE ENTIRE CREW WILL BE PAID IN ONE PAYMENT BY THE CREW LEADER- PLEASE PAY YOUR REGISTRATION FEE TO YOUR CREW LEADERPreviousNextACCIDENT WAIVER AND RELEASE OF LIABILITY FORMI CERTIFY THAT I AM PHYSICALLY FIT, HAVE SUFFICIENTLY TRAINED FOR PARTICIPATION IN THE EVENT AND HAVE NOT BEEN ADVISED OTHERWISE BY A QUALIFIED MEDICAL PERSON.I ACKNOWLEDGE THAT THIS ATHLETIC/DANCE EVENT IS A TEST OF A PERSON’S PHYSICAL AND MENTAL ABILITIES AND CARRIES WITH IT THE POTENTIAL FOR SERIOUS INJURY, DEATH AND PROPERTY LOSS. THE RISKS INCLUDE, BUT ARE NOT LIMITED TO, THOSE CAUSED BY TERRAIN, FACILITIES, TEMPERATURE, WEATHER, CONDITION OF ATHLETES/DANCERS, EQUIPMENT, VEHICULAR TRAFFIC, ACTIONS OF OTHER PEOPLE INCLUDING, BUT NOT LIMITED TO, PARTICIPANTS, VOLUNTEERS, SPECTATORS, COACHES, EVENT OFFICIALS, AND EVENT MONITORS, AND/OR PRODUCERS OF THE EVENT, AND LACK OF HYDRATION. THESE RISKS ARE NOT ONLY INHERENT TO ATHLETES/DANCERS, BUT ARE ALSO PRESENT FOR VOLUNTEERS AND GUESTS. I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING AND/OR VOLUNTEERING IN THIS EVENT. FURTHER, I AGREE TO EXAMINE THE PHYSICAL STAGING AREA OF THE COMPETITION FOR ANY POSSIBLE DEFECTS (E.G., WET OR OILY SURFACE, CRACKS, ETC.), AND, WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, WAIVE ANY AND ALL CLAIMS RELATING TO THE PHYSICAL STAGING AREA OF THE COMPETITION. I REALIZE THAT LIABILITY MAY ARISE FROM NEGLIGENCE OR CARELESSNESS ON THE PART OF THE PERSONS OR ENTITIES BEING RELEASED, FROM DANGEROUS OR DEFECTIVE EQUIPMENT OR PROPERTY OWNED, MAINTAINED OR CONTROLLED BY THEM OR BECAUSE OF THEIR POSSIBLE LIABILITY WITHOUT FAULT.I ACKNOWLEDGE THAT THIS ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM WILL BE USED BY THE EVENT HOLDERS, SPONSORS AND ORGANIZERS, IN WHICH I MAY PARTICIPATE AND THAT IT WILL GOVERN MY ACTIONS AND RESPONSIBILITIES AT SAID EVENTS.IN CONSIDERATION OF MY APPLICATION AND PERMITTING ME TO PARTICIPATE OR VOLUNTEER IN THIS EVENT, I HEREBY TAKE ACTION FOR MYSELF, MY EXECUTORS, ADMINISTRATORS, HEIRS, NEXT OF KIN, SUCCESSORS, AND ASSIGNS AS FOLLOWS” (A) WAIVE, RELEASE AND DISCHARGE FROM ANY AND ALL LIABILITY FOR MY DEATH, DISABILITY, PERSONAL INJURY, PROPERTY DAMAGE, PROPERTY THEFT OR ACTIONS OF ANY KIND WHICH MAY HEREAFTER ACCRUE TO ME INCLUDING TRAVELING TO AND FROM THIS EVENT, THE FOLLOWING ENTITIES OR PERSONS: THE ARIZONA GRAND RESORT & SPA, SPORT FITNESS INTERNATIONAL, HIP HOP INTERNATIONAL, HOWARD SCHWARTZ ASSOCIATES, THE PRODUCERS AND SPONSOR(S) OF THE COMPETITION AND ITS RELATED ACTIVITIES, AND ALL AGENTS, EMPLOYEES, VENUES AND LICENSEES OF THE FOREGOING, THEIR DIRECTORS, OFFICERS, EMPLOYEES, VOLUNTEERS, REPRESENTATIVES, AND AGENTS, THE EVENT HOLDERS, EVENT SPONSORS, EVENT DIRECTORS, EVENT VOLUNTEERS; (B) INDEMNIFY AND HOLD HARMLESS THE ENTITIES OR PERSONS MENTIONED IN THIS PARAGRAPH FROM ANY AND ALL LIABILITIES OR CLAIMS MADE AS A RESULT OF PARTICIPATION OR VOLUNTEERING IN THIS EVENT, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASES OR OTHERWISE.I HEREBY CONSENT TO RECEIVE MEDICAL TREATMENT AND AMBULANCE SERVICE THAT MAY BE DEEMED ADVISABLE IN THE EVENT OF INJURY, ACCIDENT AND/OR ILLNESS DURING THIS EVENT. I SHALL BE LIABLE AND IMMEDIATELY PAY ALL COSTS AND EXPENSES INCURRED IN CONNECTION WITH SUCH MEDICAL AND TRAVEL SERVICES RENDERED.I UNDERSTAND THAT AT THIS EVENT OR RELATED ACTIVITIES, I MAY BE PHOTOGRAPHED AND/OR VIDEOTAPED. I HEREBY CONSENT TO YOU AND YOUR SUCCESSORS IN INTEREST, THE RIGHT TO PHOTOGRAPH AND/OR VIDEOTAPE ME AND RECORD MY VOICE AND PERFORMANCE, IF ANY, AND USE MY VIDEO, PICTURE PHOTOGRAPH, SILHOUETTE AND OTHER REPRODUCTIONS OF MY PHYSICAL LIKENESS AND SOUND (AS THE SAME MAY APPEAR). I AGREE TO ALLOW MY PHOTO, VIDEOTAPE OR FILM LIKENESS TO BE USED THROUGH ANY AND ALL MEDIA, MEANS, LANGUAGES, TECHNOLOGIES AND MARKETS NOW KNOWN OR HEREAFTER DEVISED INCLUDING WITHOUT LIMITATION, PROMOTION, ADVERTISING, STREAMING, LICENSING, DISTRIBUTION AND EXPLOITATION FOR ANY LEGITIMATE PURPOSE ON AN IRREVOCABLE AND UNLIMITED BASIS BY THE EVENT HOLDERS, PRODUCERS, SPONSORS, ORGANIZERS AND OR ASSIGNS WITHOUT ANY COMPENSATION OR PAYMENT BEING MADE FOR SUCH USE AND FURTHER USE THEREOF.THIS ACCIDENT WAIVER AND RELEASE OF LIABILITY SHALL BE CONSTRUED BROADLY TO PROVIDE A RELEASE AND WAIVER TO THE MAXIMUM EXTENT PERMISSIBLE UNDER APPLICABLE LAW. I HEREBY CERTIFY THAT I HAVE READ THIS DOCUMENT; AND, I UNDERSTAND ITS CONTENT.Crewmember Passport or Government Issue ID Click or drag a file to this area to upload. Name must match name of participant, above. Only PNF, JPEG and PDF documents accepted. Max size 5mb.The file must be named as DancerFullName-CrewName-AgeDivision-Country.EXT or something similar.You may upload later however, documents received after the deadline will result in a late chargeAre you, the participant, under 18 years old? *NO I am 18 years old or olderYES I am 17 years old or youngerGDPR Agreement *I consent to having this website store my submitted information so they can process my entry, keep me informed of future events, and respond to any questions.PARTICIPANT'S SIGNATURE OF UNDERSTANDING * Clear SignaturePLEASE TYPE PARENT OR GUARDIAN NAME *FirstLastParent/Guardian Mobile Number *Parent Guardian Email *EmailConfirm EmailSignature of Parent/Guardian, if under 18 * Clear SignaturePARENT GUARDIAN WAIVER FOR MINORS (UNDER 18 YEARS OLD)The above signed parent and natural guardian or legal guardian does hereby represent that he/she is, in fact, acting in such capacity and agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, claim or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian.PreviousSubmit