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THIS PROGRAM IS AN OFFICIAL INVITATION

TO PARTICIPATE IN THE CHAMPIONSHIP

 


 

Annex No.1
                     
Application form for participation if the World Horting Championship among youth (boys and girls), juniors (boys and girls), men and women in sections “Fighting”, “Form” and “Fight-Show”  
                     
Dates of the Championship: September 24 – 27, 2015  
Location: Poland, Kędzierzyn-Koźle, 1A Mostowa street, sport complex “AZOTY”
                     
Sl. No. Last name First name Second name DOB Age Weight Sports Rank Country Coach Doctor
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                     
    Allowed for participation _______________________ (number of people)    
                     
    Doctor:     Stamp and signature          
                     
Head:   _____________ signature and stamp    
                                                     

 

Annex No.2

 

WRITTEN CONSENT

I, _____________________________________________________________________________

(full name)

 

Passport No.: ______________________________

Issued by: _________________________________

Date of issue: ______________________________

 

 

consciously and at my sole discretion herewith confirm

 

that in case of any possible injuries that may be obtained by me because of my participation in the World Horting Championship among youth (boys and girls), juniors (boys and girls), men and women in sections “Fighting”, “Form” and “Fight-Show” that will take place on 24-27 of September 2015, I will not have any claims or complaints either to the Organisers of the Championship or to the Jury.

 

Date: «___» _____________ 2015 Signature _____________ /Name________________/


 

Annex No.3
                     
  List of referees For participation in the World Horting Championship among men and women in sections “Fighting”, “Form” and “Fight-Show”
                     
Dates of the Championship: September 24 – 27, 2015  
Location: Poland, Kędzierzyn-Koźle, 1A Mostowa street, sport complex “AZOTY”
                     
Sl. No. Last name Name Second name Referee City, Country
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
                     
                     
Head:   _____________ signature and stamp        
                                             

 

 

Annex No.4
                     
Application form for accommodation in the hotel of the guests and participants of the World Horting Championship among youth (boys and girls), juniors (boys and girls), men and women in sections “Fighting”, “Form” and “Fight-Show”
Name of the team or club  
City, Country  
Postal address  
Head of the team  
Tel. (work, mobile)  
Fax  
e-mail  
                     
Sl No. Last name Name Second name DOB Passport No. Arrival date Departure date
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
Head:   _____________ signature and stamp        
                                       

 

Hotel Centralny (e-mail: recepcja@hotel-centralny.pl, www: http://hotel-centralny.pl/)

Ludwika Waryńskiego 7, Kędzierzyn-Koźle, Poland 47-223

Date: 2016-01-14; view: 1098

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