Text Box: Pictionary Tournament Registration Form Sunday September 28th, 2008 (Required for each Participant)   Participant’s Name                                                                                                                                                                                                                                                                                                               (6th through 9th grades only) Team Name                                                                                                                          Parent’s Name                                                                                                                      Address                                                                                                                                   City                                                                    ST                                    Zip                         Phone (             )                                           e-mail                                                                                                                                                                              It’s a Fundraiser! All donations for this event will support Rise n’ Shine and children and teens affected by HIV/AIDS. The suggested donation to participate is $30 per participant.   q Enclosed is a check for $_____________    q Please bill my parents $__________ on                 MasterCard                VISA Card                             #                      -                          -                      -                                               Exp. Date                                     Signature                                                            q     We will make my donation of ________online through “Click & Pledge” on the Rise n’ Shine website (www.risenshine.org/donate.htm) under the name                                                 _____________   q     I will bring the donation on the day of the event.   q     My parent’s company matches.  Enclosed is the form.   The value of your donation is deductible from taxable income as provided by law and is solely dedicated to the support of Rise n' Shine. Tax ID #91-1409104                                                                                                                           Pictionary Tournament Liability Release   As a participant in the Pictionary Tournament, I hereby, for my child, myself, and my child’s personal representatives assume any and all risks associated with this event.  I further waive, release, discharge and forever hold harmless Rob Angel; the Rise & Shine Foundation; the Community Center at Mercer View; all sponsors, organizers and volunteers of this event; for any and all injuries or damages of any kind whatsoever suffered as a result of taking part in this event and any related activities.  I also agree to the use of any photo, film or videotape of this event for marketing purposes.   Parent Signature                                                             Date                       Please Mail to Rise n’ Shine, 417 23rd Avenue S, Seattle, WA 98144 Space is Limited