Slackline Open Renesse 2015
Transcription
Slackline Open Renesse 2015
Slackline Open 2015 Renesse Attachment: contest participation forms v.1.1 1 Slackline Open Renesse 2015 #SOR15 - Registration Forms Please send a signed copy or photo of these forms to: [email protected] Slackline Open 2015 Vibez Factory – Entertainment, Events & Multimedia | Steenbank 10, 4301ZX, Zierikzee KvK: 62747789 Slackline Open 2015 Renesse Attachment: contest participation forms v.1.1 2 Slackline Open Renesse 2015 Registration, Slackline Open Renesse I want to take part at the “ Slackline Open Renesse 2015” Registration requested until 31st of May 2015 Please send all forms: registration form + Overnight accommodation form and the contest agreement to [email protected] Full name :____________________________________________________________ Adress :____________________________________________________________ Country :____________________________________________________________ Email adress :____________________________________________________________ Telephone :____________________________________________________________ Age :____________________________________________________________ Slackline Information WSFED rider number :____________________________________________ Ranking position :____________________________________________ ( Requested if registered at WSFed ) Registration fee * The registration fee for participation to the Slackline open Renesse competition are € 20,00 per participant. To fullfill your official appliction, this fee must be payed in cash at the SOR checkin point before the match opening. All participants will get a personal contest number and unique slackline open contest t-shirt. _______________________________ Date, Place, Signature Slackline Open 2015 Vibez Factory – Entertainment, Events & Multimedia | Steenbank 10, 4301ZX, Zierikzee KvK: 62747789 Slackline Open 2015 Renesse Attachment: contest participation forms v.1.1 Slackline Open Renesse 2015 Overnight accommodation Overnight stay SOR15 Camping: “Vakantiepark Schouwen” (www.vakantieparkschouwen.nl More info: check the website at www.slacklineopen.nl) €25,- p.p. for 2 nights ) Friday 12th / Saturday 13th Number of people _______ Full name and ID: 1. prime contractor: __________________________________________________ 2.___________________________________________________ 3.___________________________________________________ 4.___________________________________________________ Tent ( number of people), caravan or camper_________________ Present at campfire _____________________________________ * The accomodation fee must be recieved at IBAN: NL95 SNSB 0908 3281 76 - BIC: SNSBNL2A (Vibez Factory, stating full name/ Camping) in full 5 days prior ( 07-06-2014 ) to the match day. * Participant declares to comply with the campsite regulations No thanks, I will not be using offered accommodation _______________________________ Date, Place, Signature Slackline Open 2015 Vibez Factory – Entertainment, Events & Multimedia | Steenbank 10, 4301ZX, Zierikzee KvK: 62747789 3 Slackline Open 2015 Renesse Attachment: contest participation forms v.1.1 Slackline Open Renesse 2015 Slackline Contest Agreement Slackline Open Renesse 2015 12th and 13th of June This agreement confirms the contract between the organiser (Vibez Factory / Slackline Promotions) and the contestant __________________________________regarding the participation at Slackline Open Renesse 2015 The contestant agrees to be fully liable for any personal injury resulting from the participation at the event organised by Vibez Factory / Slackline Promotions. This includes any costs incurred as a result of a possible injury or damage to personal property. The contestant hereby confirms that he will not make any legal or monetary claims against Vibez Factory / Slackline Promotions or any employees as a result of a personal injury during the event. The contestant confirms that he will not make any monetary claims against Vibez Factory / Slackline Promotions for reimbursement of costs incurred as a result of a possible injury or damage to personal goods. The contestant agrees to let Vibez Factory / Slackline Promotions and the WSFed e.V. make full use of any artwork created as a result of the event and reserves the right to use this material without further agreement by the contestant. I have read this agreement in detail and agree to the above mentioned points in full. _________________________ Place, Date _____________________________ Signature Contestant __________________________ Signature legal guardian Slackline Open 2015 Vibez Factory – Entertainment, Events & Multimedia | Steenbank 10, 4301ZX, Zierikzee KvK: 62747789 4