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Third Annual NHMTA Tournament
May 30-31, 2015
Chapman University Fowler School of Law
Orange, California


 NHMTA 2015 Student Registration & Release Form

NHMTA 2015 Student Registration & Release Form
This registration must be filled out for each participating student. Please note that some fields must be completed by a parent or legal guardian.
* Required
First Name *
Your answer
Last name *
Your answer
Affiliated team *
Put "individual competitor" if you are not affiliated with a team
Your answer
Email address *
Your answer
Phone number *
Your answer
Home address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
THE PROCEEDING SECTIONS MUST BE COMPLETED BY THE PARTICIPANT'S PARENT/LEGAL GUARDIAN
Name of parent or legal guardian *
Your answer
Parent/legal guardian emergency contact phone number *
Your answer
If I cannot be reached in case of emergency, please contact: *
Please list name and phone number
Your answer
Medical insurance company *
Your answer
Insurance policy number *
Your answer
Insurance phone number *
Your answer
The student named herein has my permission to participate in the NHMTA Mock Trial Tournament/Courtroom Artist Contest/Journalism Contest. We have reviewed and understand the rules of the competition.
Health/special needs. My child has a special need and instructions are attached. *
Required
Release and covenant not to sue/authorization for medical care
In consideration for their participation in the National Homeschool Mock Trial Association (NHMTA) Tournament/Courtroom Artist Contest/Journalism Contest, I agree to indemnify, defend, and hold harmless NHMTA program, staff, and sponsors for any and all claims, damage, costs, and expenses resulting from lawsuits and other proceedings by any third parties arising out of any acts, omissions or conduct of my child while he/she is participating in the NHMTA Mock Trial Tournament/Courtroom Artist Contest/Journalism Contest.

As a participant in the 2015 NHMTA mock trial program, I authorize the NHMTA staff to use photographs of my child, video images, and/or contest submissions (such as art and journalism), for reproduction for promotion or illustrative purposes. I understand that the above activities will not result in any profit, and that I will not receive any monetary compensation. Permission is granted to make changes or alterations and use my child’s name or a fictitious name in editorial works for advertising.

The undersigned acknowledges that the competition addressed by this release is completely voluntary.

Electronic signature of parent/legal guardian *
Please type your name preceded by "e/" (e.g., e/John Smith)
Your answer
Student information may be shared with our sponsors in order for them to contact the winners of any prizes or scholarships, or to send information about their institution.
If you would prefer for your information to not be shared, please check the box below.
Submit
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Other Tournament Information

        • TOURNAMENT FEES
          Fees are $60 per student (maximum $900 per team)
        • PAYMENT SCHEDULE
          A $100 deposit is due January 5.
          The remainder is due April 6.
        • LODGING OPTIONS
          • Ayres Inn
            3737 W. Chapman Ave, Orange (2.7 miles)
            -Very traditional feel
            -Free wifi
          • Embassy Suites Anaheim/Orange
            400 N. State College Blvd, Orange (2.4 miles)
            -Updated, modern hotel
            -Two-room suites with a bedroom, bathroom, and living room with fold-out couch
            -Free breakfast
          • DoubleTree Anaheim/Orange
            100 The City Dr S., Orange (2.9 miles)
            -Free shuttle to Disneyland
        • Chapman University Fowler School of Law map
        • Area map