Tapping Team Contest Application
Please sign me up for the 2015 FSAWWA Conference
Tapping Team Contest
(Please print clearly)
UTILITY: _____________________________________________________________________
ADDRESS: ___________________________________________________________________
CITY/ZIP CODE: ______________________________________________________________
NAME OF CONTACT:__________________________________________________________
Team registration for contestant’s waiver: Waiver, Release and Assumption of Risk:
By my signature below, I acknowledge that I have read this Waiver, Release, and Assumption of Risk
and fully understand its terms, conditions and meaning. In return for allowing my participation in the
Florida Section AWWA Conference Tapping Team Contest activities, I voluntarily assume all risk and
responsibility for my physical condition and for my injuries or damages to my person or property that I
might sustain in that participation. I further voluntarily release and discharge the Florida Section
AWWA Conference, its president, officers, employees, members or guests, for any injury of damage to
my person or property due to negligence, carelessness or any other fault. It is further understood that this
Waiver, Release and Assumption of Risk is binding on my heirs, personal representatives, legal representatives, successors and assigns. I assume full responsibility for my actions and behavior during the
contest and while at the Conference.
Signed this ______day of ________________________, 2015.
Print Name
Signature
1.
2.
3.
4.
We are registered for the FSAWWA Conference.
We have attached our Registration forms.
Official Rules and Regulations are available at www.fsawwa.org/2015fallconference in the
Competitions webpage. You must bring your own tapping machine.
DEADLINE: November 06, 2015
Fax Form to Paul Blastic at (407) 802-2504
For questions, please email Mike George at tapitflorida@att.net or call (352) 200-9631