WORLD SCHOLAR-ATHLETE GAMES PROGRAMS

Please select the program in which you would like to participate. You may only participate in one program – either a sport program or an arts program. Please write your first choice below as well as alternate choices in case your first choice is filled and not available.

If you have selected a sport program, please complete the following:
Level of experience in your program: Position:

If you have selected a art program, please complete the following:
Level of experience in your program:
Instrument (if applicable): Voice Type (if applicable):

PAYMENT INFORMATION

THERE ARE SEVERAL OPTIONS OF PAYMENT:

• Participants may make the $750 payment in full.
• Participants may make the payment in three installments of $250. The installments will be paid every three months. Please see the payment schedule for further details. For example, if you register in May, 2010 and make a payment of $250, the second charge would be three months later in August, 2010 and the final charge would be three months thereafter, in November, 2010. (2nd and 3rd payments are charged on the 15th of the month.)

Pay by Credit Card

I am paying by credit card and wish to have $750 charged to my account.

I am paying by credit card and wish to have $250 charged to my account. I understand that the additional two installments will be charged to my credit card at three month intervals.

Pay by Check

If you decide to pay by check, the check will be made payable to: Institute for International Sport and included with your completed application. If you decide to pay by check, please remember that you must pay a minimum $250 deposit. If at all possible, and to avoid extra paperwork, please enclose two post-dated checks. If you do not include two post-dated checks, you will be billed for the balance at three month intervals.
To Pay by Check, please download and print application here.

Important Notice for Foreign Applicants: For foreign applicants, payment by check must be made in U.S. dollars. Thus, if you send check or money order, please make sure that your check/money order is in U.S. dollars. Only foreign applicants have the option of wiring money. If you plan to make a wire transfer, please email Mr. Tom Clark at tclark@internationalsport.com

HOW TO PAY:

WAIVER

In consideration of being allowed to participate in any way in the World Scholar-Athlete Games, related events and all activities, I, the undersigned:

• Acknowledge and fully understand that each participant will be engaging in activities that involve the risk of serious injury or death which might result not only from their own actions, inactions or negligence, but the actions, inactions of others, the rules of play, or the condition of the premises or of any equipment used.
• Release, waive, discharge and covenant not to sue the Institute for International Sport, Scholar-Athlete Games, World Youth Peace Summit, UConn or the State of Connecticut, its respective administrators, sponsors, coaches, participants, and, if applicable, owners, and lessors of premises to conduct the event from any and all liability to the undersigned, his or her heirs and next of kin for any and all claims, losses or damages on the account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the release or otherwise.
• Hereby consent to allow my picture, likeness or talents to appear in any publication, official documentary, television special or commercial and promotional activity of the Scholar-Athlete Games in any manner incidental to or approved by the Scholar-Athlete Games without compensation to me.

I, the undersigned, have read the above waiver and release and understand that I have given up substantial rights by signing it and sign it voluntarily.

Parent or Guardian’s name: Relationship to applicant:
Parent or Guardian’s email:

Please enter the characters you see above. (Case Sensitive)