Slackline Open Renesse 2015

Transcription

Slackline Open Renesse 2015
Slackline Open 2015 Renesse
Attachment: contest participation forms v.1.1
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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