2004 NSC A National Conference and E xhibition Registration For m
WAIVER AND RELEASE OF LIABILITY
AND ASSUMPTION OF RISK
Name
K CSCS® K NSCA-CPT®
NSCA Member #
Institution/Company
Mailing Address
City
State
Contact Phone
Zip
Email
Emergency Contact & Ph. #
T-shirt size (check one):
KS
KM
KL
K XL
K 2XL
K 3XL
*Program books and t-shirts are guaranteed for those who register by June 14, 2004, then on a ?rst-come ?rst-served basis.
In an effort to maintain great services and pricing to both exhibiting companies and attendees, we are instituting
a new rate structure to reward individuals who stay at the NSCA designated hotels. The NSCA has experienced difficulties meeting its obligations to the contracted hotels, because many attendees and exhibitors chose to stay at non-NSCA
hotels in the past. Please contact the conference department if you have any questions.
Lowest prices are available for those attendees staying at the Hyatt or the Millennium
—a confirmation number will be required.
• Minneapolis Regency Hyatt ($134 single/double) — phone 1-612-370-1234
• Minneapolis Millenium Hotel ($128 single/double) — phone 1-612-332-6000
Staying at
Conf. Hotels
NOT staying at
Hotels
After July 9
On-site Only
K $235
K $275
K $315
K $210
REGISTRATION FEES
K $230
K $250
K $165
K $200
K $235
Full Conference (includes admittance into the Exhibit Hall and Reception)
NSCA Member
Student Member
One day only (check day)
K Thursday
K Friday
K Saturday
Pre-Conference Symposia (4 hour sessions, please check only one session)
K Conditioning the Complete Soccer Athlete K Personal Training for Seniors
NSCA Member
K $135
K $175
K $215
Student Member
K $110
K $130
K $150
Pre-Conference Symposia (6 hour sessions, please check only one session)
K Basic Theory & Practice of Strength, Power, Plyometrics, and Agility for the High School Strength Coach
K Beyond Ephedra: Safe and Effective Nutritional Suppleents for Health and Athletics
K Sport Performance Workshop
NSCA Member
K $155
K $195
K $235
Student Member
K $130
K $150
K $170
In consideration of being allowed to participate in the NSCA 2004 National
Conference, (including but not limited to)
any seminar, clinic, exhibit, or demonstration conducted in connection therewith
(the Event) the undersigned attendee
hereby expressly waives and releases
NSCA its administrators, directors, agents,
officers, volunteers, and employees, other
participants, any sponsors, advertisers, and
if applicable, owners and lessors of premises in which the activity takes place from
any liability, losses, damages, injuries
(including disability or death) actions and
all causes of action or claims whatsoever,
of any kind or nature, arising from, or in any
manner related to, attendee’s participation
in the Event. This Waiver and Release shall
inure to the bene?t of the assigns or successors of NSCA and shall be binding upon
the heirs or successors of attendee.
Attendee specifically understands that
attendance at or participation in any activity is at attendee’s own and sole risk.
Attendee specifically acknowledges his
experience and capabilities and believes
he is quali?ed to participate in any such
activity offered by the NSCA. Attendee
fully understands that participation in any
function or activity set forth herein
involves risks and dangers and may result
in serious bodily injury, including permanent disability, paralysis, and/or death.
Attendee understand that such risks and
dangers may be caused by his own
actions, or inaction, the actions or inaction
of others participating in the activity, the
condition in which the activity takes place
or the negligence of the releases, speci?cally the NSCA and its agents or employees. With full ???v?VFvR?F?RGFV?FVP?gV??66WG2?B77V?W2??7V6?&?6?0??B??&W7??6?&??G?f?"??76W2?6?7G2??@?F?vW2??7W'&VB2&W7V?B?b??2'F?6?F?????F?RWfV?B??b?????B?"?GW&P?v?G6?WfW"?GFV?FVRgW'F?W"w&VW2F?@??b?FW7?FRF??2&V?V6R??R?"????R????0?&V??b??W26???v??7B???bF?P?&V?V6VW2??VB?W&V???GFV?FVRv??????FV???g??6fR?B???B?&??W72V6??`?F?R&V?V6VW2g&?????F?vF???W?V?6W2??GF?&?W?( ?2fVW2???72?&??G??F?vR????W'?????6?VF??rF?6&??G??"FVF???"6?7B??bF?V?????7W"2&W7V?B?b??7V6??6?????GFV?FVR6???v?VFvW2F?B'?&Vv?7FW&??rf?"F??26??fW&V?6R?R?2&VBF??0?w&VV?V?B?gV??V?FW'7F?G2?N( ?2FW&?2??V?FW'7F?G2F?B?R?2v?fV?W7V'7F?F??&?v?G2'?6?v???r?B??B?26?v?VB?@?g&VV??Bv?F??WB????GV6V?V?B? ?77W&?6R?b???GW&R??B??FV?G26?P?F?&R6???WFR?BV?6??F?F?????&V?V6R?b???&??G?F?F?Rw&VFW7BW?FV?@????vVB'?F?R?r?bF?R7FFR??v??6??7V6?7F?f?G??26??GV7FVB?B?gW'F?W"??w&VW2F?B?b???'F????bF??2w&VV?V?B?2?V?BF?&R??f?BF?BF?R&??6R????Gv?F?7F?F??r?6???6??F??VR??gV???f?&6R?BVffV7B??V6R?7B??FV?6????&?F???2?W&S????????????????????????????gV??6??fW&V?6P?F?F???&??FVB??P???wVW7B72C#R????w2??RwVW7BF?GF?6R??F?F?RW???&?B????B&V6WF???2???&R?6??fW&V?6P?F?F???6?v?GW&P????R?bwVW7C??????????????????????????????????????????????wVW7B72F?F??FFP??$TeT?B??5????&VgV?B&WVW7G2?W7B&R7V&?GFVB??w&?F??r?B6??V?B??6?VFP?F?R&V6??f?"6?6V??F??????&VgV?G2v???&R66WFVBf????R?gV??&VgV?G2?W72C# ??b?7F?&?VB'???B?#B?SR&VgV?B?b?7F?&?VB??R( 2?V?R??#B????$TeT?E2gFW"?V?R??#B?FVGV7BCC?V6?f? ?gV???B&R?6??2?`?&Vv?7FW&??r'?b?B?@??D?D??@???????V?&W'>( G?V6R6????R?c?#bf?"&FW2(
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