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By signing this agreement you are acknowledging that you have read, understood and accepted the terms and conditions stated on this agreement. You further acknowledge and agree that you are waiving your rights to bring court action to recover compensation or obtain any other remedy for any injury / damage to your self or your property. I release and forever discharge the Temasek Polytechnic Adventure Club and Sports Climbing Rockamania XIV Organizing Committee of all liabilities, claims, actions, damages, costs or expenses.
By signing this agreement you are acknowledging that you have read, understood and accepted the terms and conditions stated on this agreement. You further acknowledge and agree that you are waiving your rights to bring court action to recover compensation or obtain any other remedy for any injury / damage to your self or your property. I release and forever discharge the Temasek Polytechnic Adventure Club and Sports Climbing Rockamania XIV Organizing Committee of all liabilities, claims, actions, damages, costs or expenses.
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By signing this agreement you are acknowledging that you have read, understood and accepted the terms and conditions stated on this agreement. You further acknowledge and agree that you are waiving your rights to bring court action to recover compensation or obtain any other remedy for any injury / damage to your self or your property. I release and forever discharge the Temasek Polytechnic Adventure Club and Sports Climbing Rockamania XIV Organizing Committee of all liabilities, claims, actions, damages, costs or expenses.
Copyright:
Attribution Non-Commercial (BY-NC)
Formati disponibili
Scarica in formato PPT, PDF, TXT o leggi online su Scribd
Notice: This document is a legally binding agreement. By signing this agreement
you are acknowledging that you have read , understood and accepted the terms REGISTRATION FORM and conditions stated on this agreement. You further acknowledge and agree that you are waiving your rights to bring court action to recover compensation or obtain any other remedy for any injury /damage to your self or your property. Event Dates: This is to certify that I, ________________________, NRIC/Passport No. ___________,have read the rules and regulations pertaining to my participation in 25th & 26th of July the Rockamania XIV organized by the Temasek Polytechnic Adventure Club and Temasek Polytechnic Sports Climbing. In consideration of the acceptance of my 09 entry, I, for my heirs, executors and administrators, release and forever discharge the Temasek Polytechnic Adventure Club and Sports Climbing Rockamania XIV 1st & 2nd of Organizing Committee, for their sponsors, their appointed staff, officials or agents, of all liabilities, claims, actions, damages, costs or expenses which I may have August 09 against them arising out of or in any way connected with my participation in this event, including travel to or from this event, including all accidents, injuries or death that may be suffered by me before, during or after the event, or damage to my equipment sustained during my participation in this event. I understand that this indemnity includes any claims based on negligence, action, or inaction of any of the above parties. I acknowledge that there are significant elements of risk Reporting Time: associated with the sports climbing, bouldering and fitness training regime and equipment. I further acknowledge the nature and extent of the risks inherent in climbing and the use of its related facilities. I recognize the difficulties of the event Novice (sec) - 1300, and attest that I am sufficiently fit physically to complete this event and that I 25 th July have not been advised otherwise by a qualified medical professional. I also acknowledge that I have read and will abide to the Rules and Regulations stated in Novice (open) this form. -0800,26 th July ______________________ _________________ __________________ Name of Participant Signature Open - 26th July 09, 1300hrs Date Intermediate - 1st August 09, 0800hrs ----------------------------------------------------------------------------------------------------- Organized By: ----------------------- Speed - 25th July 09, 1630hrs TO BE COMPLETED BY PARENT/GUARDIAN OF PARTICIPANT UNDER 21 YEARS OF AGE
I, ________________________________, NRIC/Passport No. ______________, hereby allow
my son/daughter/ward to participate in the above mentioned Rockamania XIV organized by Temasek Polytechnic Adventure Club and Sports Climbing and would not hold the organizers, sponsors, staff and officials responsible for any accidents, *Note: In the event that bad weather be experienced during the damages, mishaps, injuries or loss of life that may occur in the course of or as a competition, the events from the closed category will be postponed result of his/her participation in this event. to the following weekend, subject to the discretion of the organisers.
Name of Parent/ Guardian Signature Date Incomplete forms will be deemed invalid and will be dealt with as stated in the Book of Rules & Regulations. Personal Particulars Rules and Regulations Name Gender M/F 1 General Rules and Regulations 1.1 Registration Closes on 20th July 2009. NRIC 1.2 Fees: Open Categories (Difficulty)- S$12.00 (Speed Individual)- S$6.00 Date of Birth 1.3 On-the-spot registration after the registration window period will only be allowed if there are Address any vacancies. An additional fee of S$4.00 will be collected for on-the-spot registration. 1.4 Only full-time students of secondary schools will be able to participate in the Novice category. 1.5 Only full-time students of secondary schools, polytechnics, junior colleges, ITEs, international School Postal Code schools, universities and any other education institutes in Singapore will be able to participate in Intermediate, Professional & Speed categories. Contact No. ^Age 1.6 Climbers who have represented Singapore within the span of the last 3 years, or who are part of the Singapore National Team are eligible to compete in the Difficulty-Pro and Speed events. Email *T-shirt size S / M / L / XL 1.7 Status of national climbers will be according to the list provided by Singapore Mountaineering Federation (SMF). Categories ( please tick accordingly) 1.8 Each school is limited to 5 participants for each category, Except for novice (secondary school) category 3 participants. Difficulty – Novice ( secondary Men school) Difficulty – Novice ( open) WomenMen 2 Submission of registration forms 2.1 Registration forms can be directly mailed to the address stated below. Difficulty - Intermediate WomenMen 2.2 Cheques should be crossed and made payable to ‘Temasek Polytechnic– Adventure Club‘. Difficulty - Open WomenMen (To be mailed along with the registration forms). Speed (Individual) WomenMen 3 Registration Women 3.1 Competitors are required to bring their student pass or student identification card of their education institution for identification and verification purposes on the day of the competition. Medical Information – Is there a history of/ have you ever had: Yes No 3.2 Competitors will receive the event T-shirt and a goodie bag upon registration. 1. Chest Pain, Coronary Problems, High Blood Pressure…………….. ____ ____ 3.3 Each school is limited to 5 participants for each category, Except for novice (secondary school) 2. Lung Problems ( Bronchitis, Tuberculosis etc.) …………………____ ____ category …... ____ ____ 3 participants. 3. Asthma …………………………………………………………………… (If yes, when did you last suffer an attack? ) ____ ____ 4 Attire/Equipment 4.1 An event shirt will be issued to each participant upon reporting on the day of the event. All 4. Head Injury, Fits, Epilepsy, Fainting Attacks, Migraine … ____ ____ competitors are required to wear the event shirt throughout their event (isolation and climb). …............ ____ ____ 4.2 Note: Event shirt will not be issued to speed participants. Participants to be dressed in school 5. Back/ Neck Problems …………………………………………………… ____ ____ based shirt. 6. Diabetes …………………………………………………………………..____ ____ 4.3 No bare bodied climbing. 7. Eye (Vision)/ Ear (Deafness) Problems ………………………………. ____ ____ 4.4 Harnesses and helmets will be provided for all competitors but they may choose to use their own. 8. Nervous Illness …………………………………………………............. ____ ____ 9. Arthritis, Bone or Joint Injury …………………………………………… ____ ____ 5 Judging 5.1 Difficulty: Competitors will be judged according to the legitimate hold-touch point; height 10. Surgery within the last 3 years ……………………………………….. ____ ____ reached by dynamic means is allowed. 11. Allergies (Drugs, Food etc.) …………………………………………... 12. Routine Medication Needs ……………………………………………. 6 Appeals ( If yes to any of the above, please specify: 6.1 If a competitor disputes the results of the competition, a written appeal must be made within ________________________) 30 minutes of the release of the results and must be accompanied by a sum of S$50.00 in cash and will only be refunded if the appeal is successful. Do you have any other disability or medical information you wish to highlight? 7 Important note _____________________________________________________________________ 7.1 The Organizing Committee reserves the right to amend any part of the Rules and Regulations without prior notice. The Book of Rules and Regulations will be available on request. For Women only: Are You Pregnant? No_____ Yes_____ 7.2 There is a quota on participants for this competition in order to tally with our planned schedule. 7.3 Event shirts will be given while stocks last. In the event of an emergency Personthat I declare to contact: _______________________ all the information Relationship: provided by me are true and correct to the best of For enquiries please do not hesitate to contact my__________ knowledge. Xue Qian at 96258553 (HP) Address: _____________________________________ Tel:___________ siokyman@hotmail.com (Email) ______________________ ________________ Temasek Polytechnic – TP Sports Climbing C/O TP Adventure Club, Signature Date Student & Alumni Department, * Subject to availability of sizes ^ As of 1st January 2009