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ACCEPTANCE/MEDIA INFORMATION FORM
NAME: ___________________________________________________________________________________________
COLLEGE: ______________________________________________________________________________________
HOME ADDRESS:_________________________________________________________________________________
E-MAIL: ____________________CELL:________________________ TELEPHONE____________________________
POSITION: HEIGHT: ____________ WEIGHT: _____________ DATE OF BIRTH:_____________________
FOOTBALL HONORS:_____________________________________________________________________
CAREER OBJECTIVE: ___________________________________________________________________
WOULD YOU CONSIDER AN INTERNSHIP WITH USA COLLEGE SPORTS? ________________________
I ACCEPT THIS INVITATION TO PARTICIPATE IN THE 2012 LOMBARDI BOWL. I CERTIFY THAT I AM IN GOOD PHYSICAL CONDITION AND FREE OF INJURIES.
PLAYER’S SIGNATURE AND DATE: ____________________________________________________________
FIVE HUNDRED DOLLARS STIPEND ALTERNATIVES
1.__________THE PAYMENT MAY BE SUBMITTED BY A SPONSOR WHO WILL RECEIVE A ONE-EIGHTH (1/8) PAGE IN THE LOMBARDI BOWL OFFICIAL PROGRAM PLUS A LOGO AND LINK ON LOMBARDIBOWL.COM WITH PAYMENT MADE TO: LOMBARDI BOWL, INC.
2.__________TEN (10) PERSONAL SPONSORS AT FIFTY DOLLARS ($50) PER SPONSOR WHOSE NAMES WILL BE PUBLISHED IN THE OFFICIAL GAME PROGRAM AND ON LOMBARDIBOWL.COm
3.__________TWENTY FIVE (25) TICKETS AT TWENTY DOLLARS ($20) FOR PREMIUM CLUB LEVEL UPPER DECK SEATS FOR BOTH THE LOMBARDI AND HANSEN BOWL EVENTS.
4.__________COMBINATION OF OPTIONS #2 AND #3 EQUALING FIVE HUNDRED DOLLARS ($500).
PARTICIPANTS WILL RECEIVE A LOMBARDI BOWL SOUVENIR TEE-SHIRT, GAME SHIRT, LODGING AND MEALS (INCLUDING THE LOMBARDI BOWL AWARDS BANQUET) BUT TRANSPORTATION TO AND FROM VIRGINIA BEACH IS THE RESPONSIBILITY OF THE PARTCIPANTS.
THE LOMBARDI BOWL STAFF LOOKS TO ESTABLISH TEAM ROSTERS OF FIFTY-SIX (56) PLAYERS -,OFFENSE (30) – 3 QB - 6 RB – 1 FB – 6 WR – 2 TE – 10 OL – 1 PK – 1 RS, 1 UP) – DEFENSE (26) - 4 DE – 5 DL – 8 LB – 6 DB – 1 P – 1 UP).
RECEIPT OF MEDIA FORM AND PAYMENT WILL BE LOGGED DAILY WITH POSITION SLOTS FILLED ON A FIRST-COME FORMAT. PLAYERS INJURED DURING THE SEASON AND UNABLE TO PARTICIPATE, WILL RECEIVE REFUNDS.
GOOD LUCK AS YOU BEGIN YOUR SENIOR SEASON. YOUR SCHOOL’S SPORTS INFORMATION DIRECTOR WILL BE NOTIFIED OF YOUR ACCEPTANCE AND BE REQUESTED TO PROVIDE UPDATES ON YOUR PROGRESS DURING THE SEASON.
PLAYER’S SIGNATURE AND DATE:______________________________________________________________
QUESTIONS: 973-364-0605