ZONA NO GI CUP 2008 REGISTRATION FORM.
BEFORE REGISTRATING PLEASE READ CAREFULLY!
 

Payment by bank account:

*For Dutch Competitors:
Giro 4679488 t.n.v. Team Agua Den Haag


*For Non-Dutch Competitors:
IBAN: NL 17 PSTB 0004 6794 88
BIC: PSTBNL21


Payment by Paypal:

Use PayPal to pay Quick and Secure.

Early registration fee 18, - €
Late registration fee 23, -€

Payment Registration number :

*PayPal
If you have paid using Paypal, you will be able to see the exact time of your transaction.

Use this exact time together with the date as your registration number.

Example Paypal: 1-4-2008/14:05:35



*Bank deposit
If you have paid by bank deposit, use the first 6 digits of your bank account.

Example bank deposit: 123456




Don't forget to bring your ID, you will need it to identify yourself before your fight !!


Early registration until April 7th.
The fee for early registration is € 18. Early registration is available until midnight on Monday April 7th.
Registration with payment using bank deposit & payment using Paypal will be possible.

Late registration until April 14th.
The fee for late registration is € 23 and is only possible by payment using Paypal . Registration will close at midnight on Monday April 14 th

REGISTRATIONS AFTER APRIL 14th & REGISTRATIONS BY
E MAIL WILL NOT BE ACCEPTED!!



If you haven't paid and subscribed before the deadline, please do not come to the competition to try enrolling on the day itself, for this will be not be accepted.
ZONA NO GI CUP 2008 REGISTRATION FORM
First Name:
Last Name:
E-mail Address:
Country:
Team:
Coach:
Level:
Weight:

Payment registration number:
Emergency contact
  
Name :
Phone :


Disclaimer:
TOURNAMENT RELEASE AND WAIVER:
I hereby waive all claims against any and all persons associated with any of the participating schools and competitors. I understand the rules of the tournament and will abide by them. I understand that I am participating in a sport that has body contact. I assume full responsibility for all of my actions during and connected to the above tournament. I understand the risk of competing in this form of Martial Arts competition and hereby release the event organizers and all of its employees and associates, tournament sponsors and the event facility, from any type of injury, loss, or death sustained while competing in this competition. I, the undersigned also state that I am in good physical condition and know of no reason why I cannot participate in this Martial Arts event. I have current and valid health insurance. Divisions or weight classes are subject to change. In case of an emergency, I hereby authorize any licensed medical personnel to perform any accepted medical procedure deemed necessary and I agree to bear the expense of any such treatment. I also agree that my attendance and/or performance at the tournament may be photographed, filmed, and/or taped and used by the organizers or sponsors for broadcast or reproduction for any portable media. I therefore waive any compensation thereof.

Furthermore, if the competitor is a minor, I hereby certify that I am Parent or legal guardian of the above named minor; that I have read and understood every provision of this release; and that I am legally competent to and freely enter into this waiver, release and assumption of risk agreement on behalf of the minor and myself.

I have read the rules and the release above and agree to all of its terms.

Disclaimer:
(By submitting this form you agree to all the conditions and the disclaimer.)

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