A Day 2 Remember Registration A Day 2 Remember Registration Volunteer, Vendor, Sponsor or Donor - Registration*I am a Volunteer registering for the eventI am a Food Vendor registering for the eventI am a Non-Food Vendor registering for the eventI would like to be a Sponsor for this eventI would like to Donate to the eventVolunteer RegistrationVolunteer must be at least 16 years old. If under 18 years old, please have his/her parent sign the online waiver form prior to be able to participate.In compliance and protection of our youth participants, all Volunteers will be contacted by an Xcelsior Management Team Member for security measures. Volunteer Registration Fee Price: $0.00 Food or Non-Food Vendor Registration Fee$500 per Food Vendor (FOOD ONLY, NO DRINKS). . . $300 per Non-Food Vendor (10x10 canopy space with one table and 2 chairs will be provided)Food Vendor Registration Price: $500.00 Processing Fee (Food Vendor) Registration Price: $14.80 2.9% + .30Non-Food Vendor Registration Price: $300.00 Processing Fee (Non-Food Vendor) Registration Price: $9.00 2.9% + .30TO BE A SPONSORWHY SHOULD I SPONSOR? We do not need to dwell on the past, but we can learn from the past. Past experiences from others that have encountered various obstacles will assist us through life’s challenges. . . The present time is a gift. Life is a gift and it offers us the privilege, opportunity, and responsibility to give something back. . . And for the future, it is a mystery. However, with knowledge, experiences, working together, and your support, LET’S MAKE A DIFFERENCE! ! ! With your support, we will be able to further expand and assist others in a larger capacity. . . WE GREATLY APPRECIATE YOUR SPONSORSHIP !!!Sponsorship Levels$5,000 Platinum Level$3,000 Gold Level$1,000 Bronze Level$500 Silver LevelAll Levels: Branding & Signage Prior and During Event, and Sponsorship Announcement During Event. . . Platinum Level: Quarterly Feature Post on Social Media Outlets (every 3 months for 1 year), Company Advertisement on Website, and Company Plaque for Appreciation. . . Gold Level: Feature Post on Social Media Outlets, Company Advertisement on Website, and Company Plaque for Appreciation. . . Bronze Level: Company Plaque for Appreciation. . . Silver Level: Company Certificate for Appreciation. . . Your support is greatly appreciated !!!TO DONATELadys Foundation is an established organization helping the Surrounding Houston Communities since 2018. We strive to help those in need as well as doing our part in the community, promoting uplifting events that will bring people of all diverse backgrounds in the City of Houston together. Ladys Foundation was created by the sons and daughter of the early demised Ladys Miriam Montano, who was a big supporter of the Houston Community and vast community activist for the Colombian descents here in Houston, TX. After her demise Lady M. Montano was awarded her own day in the City of Houston, for all of her contributions and respecting relationship with her good friend First Lady Barbara Bush, The Houston Police Department, her limitless community work ethics, and business opportunities she opened for immigrant descendants in Houston. While showing others different ways to become successful within their own business ventures and craft. Ladys Foundation has partnered with As One Foundation, a non-profit organization, to enhance their outreach and accomplish the mission-vision. . . No Amount Is Too Small. . .WE GREATLY APPRECIATE YOUR CONTRIBUTION !!!Donation Amount$5.00$10.00$50.00$100.00$500.00$1,000.00$5,000.00$10,000.00Thank you very much for your generosity !!!I am interested in:*Jeff Blake's (QB-WR-DB) Elite Football Camp (June 22-23, 2019)Milton Wynn's NFL Elite High School Football Camp (June 8, 2019)I would like to join Jeff Blake's NFL (QB-WR-DB) Elite CampMiddle School (6/22/2019)High School (6/23/2019)CAMP IS LIMITED TO 50 PLAYERS PER POSITION GROUP - TOTAL OF 150 PLAYERS PER DAY - LIMITED SLOT ! ! ! Individualized Attention and Train with Retired NFL Quarterback Jeff Blake. NFL Coach On-Site for Every Position.What position(s) do you play? Quarterback (QB) Wide Receiver (WR) Running Back (RB) Defensive Back (DB) What is your jersey size?Youth Small (YS)Youth Medium (YM)Youth Large (YL)Youth X-Large (YXL)Adult Small (AS)Adult Medium (AM)Adult Large (AL)Adult X-Large (AXL)Adult XX-Large (AXXL)Jeff Blake's Elite Camp Registration FeeEarly registration (ends 5/11/19) = $250/player Regular registration (ends 6/8/19) = $300/player Late registration (if space is available) = $350/player CAMP IS LIMITED TO 50 PLAYERS PER POSITION GROUP - TOTAL OF 150 PLAYERS PER DAY - LIMITED SLOT ! ! ! Jeff Blake's Elite Camp Registration Price: $250.00 Processing Fee (Jeff Blake's Elite Camp Registration Price: $7.55 2.9% + .30Milton Wynn's NFL Elite High School Football Camp Registration FeeFREE CAMP. . .Camp is limited to FIRST 100 Registered Players - FIRST COME, FIRST SERVE. . . LIMITED SLOT ! ! ! $50 (plus processing fee) DEPOSIT IS REQUIRED TO RESERVE YOUR SLOT - THE $50 (minus the processing fee) WILL BE REIMBURSED BACK TO THE PLAYER WHEN THE PLAYER CHECK-IN ON THE DAY OF THE CAMP.Milton Wynn's NFL Elite High School Football Camp Registration Price: $50.00 Processing Fee (Milton Wynn's NFL Elite High School Football Camp Registration) Price: $1.75 2.9% + .30TournamentChoose a tournament:*Adult Asian-American Tournament3/25-26/2017 (Katy Elite Complex)East Texas Classic TournamentChoose your tournament date:*3/11 – 3/12/17 Spring Breaker Jamboree – Tyler, TX3/25 – 3/26/17 March Madness Hoops – Rusk, TX4/15 – 4/16/17 Easter Classic – Tyler, TX5/20 – 5/21/17 Memorial Day Jam – Rusk, TX6/3 – 6/4/17 Summer Bask – Tyler, TX6/17 – 6/18/17 Adrian Peterson’s Day Ballers – Palestine, TXEast Texas Classic Team Registration FeeTeam Registration* Price: $300.00 Processing Fee* Price: $9.00 2.9% + 0.30Adult Asian-American TournamentTeam Registration Fee* Price: $375.00 Early Registration before 3/17, fee is $350after 3/17, fee is $375Processing Fee* Price: $10.45 2.9% + 0.30Player Waiver Registration*Fill out waiverChoose Your LeagueLeagues*Xcelsior Youth Phillippe Sports Association (PSA)Xcelsior Youth Philippine Sports Association (PSA)All Coaches and Volunteers will be directly contacted by an Xcelsior Sports team member for security verification.Player Registration Fee* Price: $140.00 Processing Fee* Price: $4.36 2.9% + 0.30Xcelsior Adult LeaguesChoose your League*Xcelsior Basketball League (Standard)Xcelsior Asian Basketball LeagueXcelsior Philippine Basketball LeagueChoose your League*Xcelsior Youth Phillippe Sports Association - PSAXcelsior Basketball League FeesTeam Registration* Price: $450.00 Processing Fees* Price: $13.35 2.9% + 0.30Total $0.00 DivisionBasketball Division*OpenCorporateCorporateProduct Name* Price: $100.00 +additionalTotal $0.00 Men DivisionMen*RecreationalCompetitiveXcelsior Jersey$15 for league jersey and $10 for ID League jerseys can be purchased for $25 in the Xcelsior Sports online shop Lost/Replacement ID is $15 and replacement jersey is $25 NO ID and/or NO JERSEY – NO PLAYXcelsior ID + Registration Price: $15.00 Xcelsior Jersey**Order me the brand new jersey!!I will use my old jersey (Returning Players Only)New Players have to purchase jersey to play* Returning players receive a discount of 60% OFF new jersey will only be available at registration for $10! After registration, you can purchase a new jersey for $25.Jersey Size (Adult)*SmallMediumLargeXLargeXXLargeTotal $0.00 Processing Fees Price: $1.03 2.9% + 0.30Processing Fees Price: $0.74 2.9% + 0.30General RegistrationIndividual or Team/Corporate Name*Username*No Spaces - Your loginName* First Last Email* Password* Enter Password Confirm Password Contact Number*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Verify Your Birthday* Terms and ConditionsXcelsior Sports, L. L. C. 14503 Fondren Road ◊ Missouri City, Texas 77489 CONTINUING GENERAL RELEASE, WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT In consideration of me or my minor child named below being permitted to participate in, attend and/or observe any activity conducted by Xcelsior Sports, L.L.C. (hereinafter, “Xcelsior”) in connection with any of its business operations or activities, regardless of whether conducted at Xcelsior’s facility at the address above or any other locale, I am voluntarily entering into this Continuing General Release and Waiver of Liability, Assumption of Risk, Indemnity Agreement and Agreement to Arbitrate (the “Agreement”). I represent that I have had and am satisfied with the opportunity to make all inquiries necessary regarding the Xcelsior activities in which me or my child shall participate. By signing this Agreement, I acknowledge and represent that I fully understand that Xcelsior operates an athletic business and those activities include inheren t risks and the possibility of significant physical/bodily injury exists and I fully acknowledge and understand these dangers and risks and without qualification accept and assume all such risks and danger and all responsibility for injuries (temporary, permanent and life-ending), losses, costs and damages I or my child may incur. I represent and warrant that I and/or my child named below am/is qualified, in good health, and in proper physical condition to participate in such activity. I represent and warrant that if I believe any elements, events or conditions of such activities are unsafe or I am or my child is unable to perform such activities, I will immediately discontinue my or my child’s participation in the activity. Without qualification or exception, I hereby individually and/or as legal representative of my child RELEASE, FOREVER DISCHARGE and COVENANT NOT TO SUE Xcelsior and its owners, directors, officers, employees, agents, volunteers, sponsors, other participants (teams, coaches and athletes), advertisers, and if applicable, owners and lessors of premises on which the activity takes place (individually and collectively “The Released Parties”) from any and all claims, demands, costs, expenses, liabilities, losses, or damages (individually and collectively “Claims”) I and/or my child may suffer caused by, related to, in connection with or arising out of any damage (physical or property), injury (temporary, permanent or life-ending) or loss of any type or nature whatsoever (individually and collectively “Loss”). Without qualification or exception, and to the greatest extent permissible under applicable law, I agree to protect, defend, indemnify and hold harmless The Released Parties from and against any and all Claims, court and/or arbitration costs, and any and all Claims related to any medical expenses of my child whatsoever that any of The Released Parties may suffer which are caused by, related to, in connection with or arising out of any Loss of any type or nature whatsoever suffered by me or my child as a result of my child’s participation in, any Xcelsior game, event, program or activity, including observation of or attendance at an Xcelsior game, event, program or activity, regardless of whether same game, event, program or activity is or was conducted at Xcelsior’s facility at the address above or any other locale. This obligation for indemnity expressly applies to any claims for Xcelsior’s actual or alleged negligence. I further agree, that in the event Xcelsior, in its sole discretion, shall determine it necessary, it may retain the services of an attorney of its choosing which may be separate and apart from and in addition to any attorney provided by any insurer to represent Xcelsior and/or any other of The Released Parties I have agreed to indemnify herein in connection with any matter for which I have agreed to indemnify The Released Parties, and that all costs and expenses attendant to that representation, including expert witness charges and reasonable attorney’s fees based upon the experience of said experts and attorney and the time spent by said parties on such representation, shall also be costs and expenses for which I have agreed to provide indemnification herein. I hereby grant Xcelsior, its contractors, representatives or employees the right to photograph or record me or my minor child and grant Xcelsior permission to use any photo, recording, voice of me or my minor child as well as our physical surroundings for any lawful purpose, including, by way of example only, such purposes as publicity, illustration, advertising and internet based content. I hereby release and hold harmless Xcelsior from any reasonable expectation of privacy or confidentiality, for myself and on behalf of my minor child, associated with the images specified above. I further acknowledge that my and my child’s participation is voluntary and that neither of us will receive financial compensation of any type associated with the taking or publication on these photographs or videos. I further authorize Xcelsior, its assigns and transferees to copyright, use and publish the same in print and/or electronically. 2 By signing below you represent and affirm that you have legal custody of the below referenced minor child. Should your child need emergency medical treatment at a time when he or she is not accompanied by either parents or legal guardians, and it may not be feasible or practical to contact them, by signing below you grant your authority for Xcelsior and any of its employees, contractors, agents, or representatives (the “Designated Agent”) to administer general first aid treatment for any minor injuries. If the injury or illness is life threatening or your child is in need of emergency treatment, you hereby authorize the Designated Agent to summon any and all professional emergency personnel to attend, transport, and treat your child and to issue consent for any X-ray, anesthetic, transfusion, medication or any other medical diagnosis, treatment or hospital care deemed advisable by any licensed medical professional or hospital. Further, you agree to assume all financial responsibility for all expenses of such care and agree to hold the Designated Agent harmless from any and all claims related to the injury or the medical treatment provided. I represent and warrant under penalty of perjury that if a separate copy of the Agreement bearing the signature of my child’s other parent is not delivered to Xcelsior, that either: (1) my child’s other parent is no longer living; or (2) that after consulting with an attorney licensed and practicing law in the State of Texas, that my child’s other parent, although living, has no legal rights to consent or object to any matter affecting or concerning my child, and further has not rights to any claim of my child’s, and/or my child’s participation in any Xcelsior activity, and/or the actions I have taken by signing this Agreement that directly, substantively, and permanently affect my child’s legal rights. By signing this agreement I also represent and warrant under penalty of perjury that there is no other person who should be or should have been consulted concerning my signing this Agreement on behalf of my minor child. I further acknowledge that Excelsior is relying on the statements made herein in allowing me or my child to participate in the activity. It is my intent that this Agreement constitute and at all times be interpreted in every manner as continuing with regards to all matters contained herein and shall not limited to or for a single instance. By signing below I represent and warrant that (1) I have read the Agreement, (2) I understand it, (3) that I acknowledge, understand and agree that I, individually and as legal representative on behalf of my child, am giving/have given up substantial legal rights by signing it, (4) I have signed it freely and without any inducement or assurance of any nature, (5) I intend it to be a complete and unconditional release and waiver of all liability of The Released Parties to the greatest extent allowed by law and agree that if any portion of this Agreement is held to be invalid the balance notwithstanding such determination shall continue in full force and effect. A Waiver must be completely filled out by each participant or the participant’s representative, in the event of a minor, and signed in order to participate in any activities at Xcelsior’s premises or any locale where Excelsior is conducting an event. IN WITNESS WHEREOF, the undersigned, individually and/or as parent and/or legal representative of the Minor Child identified immediately above, after having completely read this Agreement, by signing below does hereby agree and covenant to be legally bound to and by this Agreements and all terms and conditions contained in it.SignatureTotal $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name