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Registration Synchronous Competion (16 and older)

Dear participants,

to take part at the AREA 47 SPLASHDIVING™ WORLD CHAMPIONSHIP 2010 Synchronous Competition you must be 16 or older.

Please fill in the form completely and remember the time of registration is between 28th June and 13rd July 2010 (17:00). Registrations after that time cannot be accepted.

At the competition itself the rules of participation and a questionnaire about your health must be signed (both of you must fill in their own form). You must also show an official identity card. To be able to participate the registration fee  must be paid at the check-in.

It is possible to make mixed teams (two different nations).

NOTE:
After sending the registration a new window is opened. Within three days you will receive a confirmation from SPLASHDIVING International.

All information that is asked about yourself such as the information you give in the questionnaire about your health will be handled confidential and not given to any third party. We need and will only use this information for the preparation and for the competition!

Registration Form

Athlete 1:
Name
*vorname=input,30
Surname:
Sex:
Address:
Post code:
City:
Country:
Date Of Birth (DD.MM.YYYY):
Nationality:
E-Mail:
Phone:
Phone2 (optional):
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Athlete 2:
Name
Surname:
Sex:
Address:
Post code:
City:
Country:
Date Of Birth (DD.MM.YYYY):
Nationality:
E-Mail:
Phone:
Phone2 (optional):
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1st round:
Limited! (Maximum degree of difficulty: 4.5)
Splashdown:
Somersault:
Twist:
Off-Axis:
Blind:
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2nd round:
Unlimited! (no limit for the degree of difficulty)
Splashdown:
Number of Somersaults:
Type of somersault:
Twist:
Off-Axis:
Blind:
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3rd round:
Unlimited! (no limit for the degree of difficulty)
Splashdown:
Number of Somersaults:
Type of somersault:
Twist:
Off-Axis:
Blind:
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Media:
Hereby I agree that all material created with movie film or still camera can be used unlimitedly for all film, television, broadcast and other rendition or advertising purposes. This material can be used by KULTOS Entertainment Ltd. (address: Friedrich von Schiller Str. 25; 95444 Bayreuth, Germany), the media for production or publication and press photographs.
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Health Declaration:
I accept the personal potential risks of your participation in a SPLASHDIVING competition at your own risk. Freestyle Acrobatic is with the correct behaviour and safety measures a safe sport. If however the existing safety rules are not obeyed, as with every sport increased dangers exist. I accept that various health factors could influence my safety in this sport, for example obesity, asthma, circulatory or respiratory problems, epilepsy, cardiac conditions, acute influenza, abdominal problems. I agree that a medical examination would be advisable to exclude any relevant pre-existing medical conditions. Should one exist I agree to its disclosure.
Further reasons not to take part in the sport would be alcohol and drug consumption (legal or illegal).
If you have further questions please contact the head of SPLASHDIVING.
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Yes, I agree to the conditions of participation and a medical questionnaire that must be signed at the competition on sight with the production of a photographic identification.
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Yes, I want to participate in the MENTOS SPLASHDIVING WORLDCHAMPIONSHIP 2008 powered by Mitsubishi Motor in Nuremberg.
Note: The participation is only possible if the conditions specified above are accepted. By sending this form you accept them.
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Yes, I have read and understand the terms and conditions of participation.