Mary Free Bed Wheelchair and Adaptive Sports
Thunderfest
Quad Rugby
Tournament
October 10-11, 2015
Mary Free Bed Rehabilitation Hospital’s Grand Rapids Thunder invites you to attend Thunderfest! Enclosed are the hotel information, roster and waiver forms. The tournament will be played at MVP Fieldhouse. Details are enclosed. Please call Christy with any questions at 616-840-8207 or e-mail at .
The deadline for registration is October 2, 2015. The tournament will start at 9:00am on Saturday. The schedule and start times will be e-mailed shortly after the deadline.
Hotel Information:
Holiday Inn Express
5401 28th St. Court SE
Grand Rapids, MI 49546
Walking distance to the gym!
Rate: $99 + tax/night; Includes: breakfast
Rooms Available:
Friday, October 9 –Sunday October 11
· 20 rooms in the block
Reservations: Call 616-940-8100 by September 25th and let them know you are calling for the “Thunderfest Wheelchair Rugby” tournament for the rate listed. Group sales director is Hannah.
Country Inn and Suites
5399 28th St. Court SE
Grand Rapids, MI 49512
Walking distance to the gym!
Rate: $99 + tax/night; Includes: breakfast
Rooms Available:
Friday, October 9 – Sunday October 11
· 20 rooms in the block
Reservations: Call 616-977-0909 by September 19 and let them know you are calling for the “Thunderfest Wheelchair Rugby” tournament for the rate listed. Group sales director is Rose.
Gym Information:
MVP Fieldhouse
5435 28th St. Court SE
Grand Rapids, MI 49546
Thunderfest 2015
Quad Rugby
MVP Fieldhouse
5435 28th St. Court SE
Grand Rapids, MI 49546
Invoice
Entry Fee $400 per team
Number of teams ______
Total $______
Make Checks Payable to: Mary Free Bed
*Deadline for registration is October 2, 2015
Return Registration (roster/waiver) to:
Mary Free Bed Rehabilitation Hospital Wheelchair and Adapted Sports Department
Attention: Christy VanHaver
235 Wealthy St. SE
Grand Rapids, MI 49503
**Remember ~ All athletes must turn in a signed waiver to participate.
Is transportation from Grand Rapids Airport needed?
Yes No
If yes, please call Christy (616) 840-8207 asap with more detail
Team Roster Form
Thunderfest
Grand Rapids, Michigan
October 10-11, 2015
TeamName______
Address______City______Zip______
Phone #______
Email Address______
Total number attending (players, coaches)______
Jersey # / Name/Classification Number / T-Shirt SizeCoach
Coach
Team Rep.
2015 Thunderfest
Quad Rugby Tournament Media Release and Waiver
October 10-11, 2015
I. Player Information
NAME______DOB______
ADDRESS______
PHONE # Primary______Secondary______
TEAM______
II. Releases
PHOTOGRAPHIC RELEASE
In permitting applicant to participate in Mary Free Bed Rehab Hospital programs,
I DO_____ DO NOT______grant permission to you to use likeness, voice and words of the applicant in photos, videotaping, television radio and audio/recording and similar media.
Signature ______Date______
(Parent/Guardian if participant is a minor)
WAIVER OF LIABILITY
I hereby agree to hold Mary Free Bed Rehab Hospital, associates, volunteers and elected officers, and sponsors harmless for any loss or injury as a result of participation in activities at this tournament.
Signature ______Date______
(Parent/Guardian if participant is a minor)