Registration Form - Busto Battle
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Family Name*
Given Name *
Sex*
Male
Female
Pair partner
Nationality*
WSSA ID Nr.*
WSSA ID Nr. Pair
Place of birth*
Birthday*
Adress*
ZIP Postal code*
City*
Country*
Home Phone
Mobile Phone*
Email*
Send your MP3 file for Classic Freestyle
send e-mail to bustobattle@gmail.com
T-shirt size*
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S
M
L
XL
Disciplines
FREESTYLE CLASSIC
FREESTYLE SLIDES
SPEED SLALOM
FREE JUMP
PAIR SLALOM
FREESTYLE BATTLE
Best 3 Results
I authorize the use of any photo or video taken during the competition*
Yes
No
Only for Minors: I subscribed (name surname)
I authorize my child to take part
yes
Disclaimer*
The organisers shall do everything possible to ensure the event is a success; however, the organisers shall not be held liable for any accidents, theft or damage to people and/or things before, during or after the event. Collection and handling of personal data is carried out pursuant to Italian Decree Law 30/06/2006 N. 196 (Privacy Law). Said data shall not be made available to third parties. By completing the registration form the participant hereby states that he/she: · has read, understood and fully accepts without exception the "Busto Battle" rules; · is aware that taking part in competitions is potentially a risk if the participant is not adequately prepared and in suitable physical condition; · is in possession of a valid medical certificate certifying that the participant is currently in good health; · is registering of his/her own free will and accepts any risk deriving from participating in the event (falls, contact with other participants, spectators or other, condition of the competition site); · shall not hold the organiser liable as regards the participant's physical suitability to take part in the competition; · shall not hold the organiser, A.S.D. Accademia Bustese Pattinaggio, the promoter agencies, the City of Busto Arstizio, all event sponsors, their representatives, successors, officers, directors, members, agents and employees of the companies listed above, responsible for any liability of any type, known or unknown, civil or penal, deriving from participation in the event,
I agree
Form only for national team
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