Application and Contract
Event Contact Information
Please return the completed form (mail or email) along with your deposit to USA Ultimate. Applicants must be 18 or older and will be notified regarding the status of the application within 1-4 business days of receipt. Applications are considered incomplete until the deposit is paid. Leagues should always obtain sanctioning approval before starting league registration. The provisions outlined in this application form the sanctioning agreement between USA Ultimate and the applicant for the event listed below.
Applicant/Organizer: Event Name:
Event Dates: (6 months max) // to // at Site, City, State .
Local/Promoting Organization Name: Organization Website:
Primary Event Manager/Organizer [Name]: Email:
Street Address: #
City: State: Zip: Phone: ()
I confirm that I am 18 or older AND a current USAU member [USAU ID#]:
If Event Manager is officially representing an organization:
I, (Name), the Event Manager, submit this application and contract on behalf of (Organization), and I have authority to submit this application and contract and to bind the organization as set forth herein. Date:
*An Assistant Manager or Additional Contact must be provided.
Assistant Manager/Organizer [Name]: Email: Phone: ()
I confirm that this person is 18 or older
Indemnification
As the duly authorized Event Manager, in consideration of me being allowed to be sanctioned / insured in any way by USA Ultimate, I agree to abide by and enforce all rules and regulations and decisions of USA Ultimate. I understand that I have primary responsibility to promote safe participation and to direct a safe event. I further understand and agree that the rules, regulations and decisions set forth by USA Ultimate are to be considered minimum standards and conditions and that special or unusual circumstances may require additional precautions and actions in the interest of safety.
USA Ultimate does not supervise the event or Event Manager and compliance with USA Ultimate regulations, rules, or policies is not guaranteed by the USA Ultimate. As such, USA Ultimate is not liable for any injuries or damage caused in whole or in part, directly or indirectly by the actions, errors or omissions of anyone affiliated with or related to the event, including but not limited to the Event Manager. Additionally, I must always avoid the destruction/misuse of fields.
It is hereby agreed that the undersigned, as Event Manager and agent for all promoters, sponsors, managers and any and all entities involved with the production of this event, jointly and severally agrees to defend, to hold harmless and to indemnify USA Ultimate and its officers, directors and agents, from any claims, demands or courses of action arising out of the promotion, organization and conduct of this USA Ultimate event.
As Event Manager, I will be expected to support, uphold and act in accordance with all USA Ultimate policies and procedures. I realize that any failure on my part to meet all requirements outlined in this contract/application may result in penalty fees, my suspension or the suspension of others acting under my direction, and/or prohibition of an activity or event from being sanctioned or insured by USA Ultimate in the future. Insurance coverage may be denied to any Event Manager or to any event for any reason.
Name/Signature of Primary Event Manager : Date:
Event Requirements
Review the event requirements (links below) and check the box to confirm your understanding and agreement to abide by each. Each of these components provides a framework for ensuring that USAU events are safe, organized and of the highest quality.
Health and Safety / I have read, understood and agree to abide by the USAU Health & Safety Requirements.Competition / I have read, understood and agree to abide by the USAU Competition Requirements which establish fairness and consistency across events
Registration / I have read, understood and agree to abide by the USAU Registration Requirements so that participants can also benefit from the insurance coverage.
Provisions and Amenities / I have read, understood and agree to abide by the USAU Requirements for Provisions and Amenities.
The following is required for all sanctioned events:
1. Complete USAU rosters for all participating teams.
2. All participants must sign a USAU Waiver and Release of Liability form (or have one on file for the current calendar year).
3. All participants must be current player-level USAU members (at annual or single event membership level).
Deadlines
Initial league rosters are due within one week after the event start and initial waivers/event memberships within two weeks after the event start. All final materials (waivers, rosters, payments, etc.) must be sent to USAU within 5 business days (postmarked by) after the conclusion of the event. Materials are the responsibility of the Event Manager until they arrive at USAU. Materials should be sent via priority mail or comparable.
Contact Information and Event Emails
Event managers will have access to contact information for event participants and will have the ability to email participants in relation to their event via the electronic rostering system. Sharing contact information to a third party or using the email feature to contact participants not in relation to the sanctioned event is a violation of this contract and may result in a conduct case against the event manager.
Accident Report Claim Form
If during the course of the event a participant or spectator is injured, the event manager must complete the Claim Form (copies should be kept on site) and return it to USAU. A form must be completed for all accidents or injuries.
Name/Signature of Primary Event Manager : Date:
Event Information
Number of teams participating: / Youth Club (U19, U16) / Mixed: / Boys: / Girls:High School / Mixed: / Boys: / Girls:
College / Mixed / Mens: / Women:
Club (Non age-based) / Mixed: / Mens: / Women:
Masters / Mixed: / Mens: / Women:
Other () / Mixed: / Mens: / Women:
Registration:
Players are registering as part of a team (i.e., clique, club or school based leagues)
Players are registering as individuals (i.e., draft leagues)
Other ()
1. Are players under 18 years old allowed to participate at this event? No
Yes, players under 18 years old are allowed to participate, I understand and agree to abide by the Youth Participation Requirements.
2. Will observers be used to officiate games at this event? No, observers will not be used
Yes, and I agree that only USA Ultimate Certified Observers will officiate games at this event
3. Will experimental rules or officiating duties be used at this event? No
Yes, and I have attached a list of experimental rules/officiating duties to be reviewed by USA Ultimate. I understand that they are subject to approval.
Deposit and Fees
Deposit is payable online or can be sent as a check (it will be deposited upon event approval NOT held until the conclusion of the event). If you fail to fulfill obligations as defined in this contract, the deposit will NOT be refunded and this is also ground for revocation of insurance coverage (to be determined by USAU). If all obligations are met, a refund will be issued 3-4 weeks after final materials have been received. Deposits may not be used in place of dues or fees that are owed. $5 of the deposit is non-refundable. Please check applicable fees:
$155 / Deposit: Required for all events ($5 processing fee is non-refundable)$53 / Late Fee: Nonrefundable charge for applications and deposits that are not received by USA Ultimate at least 10 business days in advance of the event start date.
$ / Additional Fees: May be assigned based on past non-compliance of sanctioning obligations. If uncertain of your deposit, please email .
$ / Total Deposit: Paid online Check included
Cancellation Fee: There is an additional $25 nonrefundable processing fee when you cancel your application (for any reason) before the start of the event. Cancellations after the listed event start will result in a complete forfeit of the deposit.
Name/Signature of Primary Event Manager : Date:
Event Insurance Request Page
The USA Ultimate liability policy provides coverage for the USA Ultimate committee members/volunteers, registered coaches and officials, registered athletes, USA Ultimate teams and USA Ultimate leagues (all while acting in their capacity as such on USA Ultimate business) and anyone else identified as Certificate Holders on this page. Any other entities apart from those named requesting to be covered by this policy must be listed as an Additional Insured. Certificates of insurance will be issued to all entities identified on this Insurance Request Page. The event manager will receive an electronic copy of all the certificates for the event and is responsible for forwarding to the appropriate parties.
Submission of this form is mandatory. To receive insurance certificates, all contact information must be completed. See tips on completing this form or requesting additional certificates. There is a $25 charge to reissue certificates due to incorrect data. All events sanctioned by USAU are required to be insured. Please check one of the following:
I will be using USAU insurance as coverage for my event (must complete this page) and I understand that the entire event is subject to the event requirements and guidelines (includes all divisions and any showcase games).
I am providing event coverage through another source and will not need USAU insurance. I have included an insurance certificate under this policy that lists USA Ultimate as an additional insured for my event.
Event Name: Event Date(s): to
1) Organization/Entity: Contact/Person: Relation to event:
Address: City: State: Zip:
Phone #: ()
Specific Wording if Required:
2) Organization/Entity: Contact/Person: Relation to event:
Address: City: State: Zip:
Phone #: ()
Specific Wording if Required:
3) Organization/Entity: Contact/Person: Relation to event:
Address: City: State: Zip:
Phone #: ()
Specific Wording if Required:
4) Organization/Entity: Contact/Person: Relation to event:
Address: City: State: Zip:
Phone #: ()
Specific Wording if Required:
Merchandise Order Form
To order merchandise, submit this completed form to USA Ultimate. Pictures/details can be found online. Orders may not be filled if merchandise is not in stock.
Discraft 175g Ultrastar DiscsQuantity of white discs:
USAU SOTG / SOTG Award / I Heart Ultimate
Quizzical Dog / J-Star USAU (for U12) / Women’s Ultimate
Play Ultimate / Sanctioned Event / USAU Member
10 Simple Rules / USA Ultimate / Thank You
College Ultimate / League Rocks! / Addicted to Ultimate
Triple Crown Tour / Classic Flight / Select Flight
Elite Flight / Pro Flight / Instructional
USA Map
Quantity of color discs:
10 Simple Rules
I would like to order (Quantity) discs X $5.00/each = $
USA Ultimate 11th Edition Pocket-Sized RulebooksI would like to order (Quantity) rulebooks X $1.15/each = $
USA Ultimate Spectator GuideI would like to order (Quantity- under 20) spectator guides X $1/each = $
I would like to order (Quantity- 20 & up) spectator guides X $.50/each = $
USA Ultimate Magazine AdEvent organizers of USA Ultimate affiliated events can place black and white quarter page or eighth of a page ads in the USA Ultimate quarterly magazine for half price. Contact for details.
Merchandise Order Grand Total = $A check/money order is enclosed or will be mailed to USA Ultimate HQ
Please send a PayPal invoice to (online payments will have a small charge)
Please ship my merchandise to the following address (no P.O. Boxes): Business Residential
Name/Contact: Business:
Address: Suite/Apt#: City: State: Zip:
Phone Day: () Email:
Application Checklist
Use the following checklist to make sure you have remembered everything when submitting your application and contract to USA Ultimate. This is for your use only. You do not need to mail this form in with the application.
Read and understand the Event Guidelines and RequirementsRead, understand and print a copy of the Health and Safety Requirements to keep on site at the event.
Complete and include pages 1-4 of the Application & Contract
Include the appropriate deposit and fees payment (check or money order must be in US dollars).
If you are not a current member, include your check for membership or sign up online.
If you do not have a waiver on file with USA Ultimate for the current year, include a signed waiver with your application or complete the waiver online.
If you are purchasing discounted merchandise, include the Merchandise Order Form and a check or
money order in US dollars.
Print copies of the Accident Report Claim Form to keep on site at the event.
View our complete list of benefits online.
Return your application/contract and payment to:
or
USA Ultimate
Attn: Event Sanctioning
4730 Table Mesa Dr.
Suite I-200C
Boulder, CO 80305
USA Ultimate 4730 Table Mesa Drive, Suite I-200C, Boulder CO 80305
Web: www.usaultimate.org Email: Tel: 303-447-3472 Fax: 303-447-3483
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