PRELIMINARY ENTRY FORM
PLEASE USE BLOCK CAPITALS
OR TYPEWRITER TO COMPLETE FORM AND TICK AS APPROPRIATE
SKIER'S
FEDERATION
__________________________________________________________________________
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FAMILY NAME |
FIRST NAME |
SEX |
DATE OF BIRTH |
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ENTERING
AS: |
SLALOM |
TRICKS |
JUMP |
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Team
Member in: |
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Reserve
Team Member in: |
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Individually
Qualified skier in: |
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Individual
Record Holder in: |
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BEST HOMOLOGATED
PERFORMANCE IN CARNET THIS YEAR OR LAST YEAR:
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EVENT |
SCORE |
NAME
OF COMPETITION |
DATE |
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SLALOM |
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TRICKS |
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JUMP |
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I
certify that the information listed above is true and that the registered skier
is in possession of a skiing licence and a valid insurance and relieves the organising Federation, the officials and the IWSF
of any responsibility for any accident which could occur to the skier during
the competition and training.
Je
declare que les donnees ci'dessus sont exactes et que le skieur engage est
titulaire d'une licence et d'une assurance en cours de validite et degage la
Federation organisatrice, les officiels et la FISN de toute responsabilite pour
tout accident qui pourrait survenir au skieur pendant la competition et les
entrainements.
SIGNATURE OF
FEDERATION OFFICIAL
..............................................
POSITION IN
FEDERATION....................................... DATE ...............
For late entries a
penalty will be applied / Pour les entrees tardives une penaltie sera
appliquee.
This entry form is to be sent
to: Brian Price – E-mail: B.J.Price@bigpond.com
or FAX 61(3) 9420 3764
The ............................................................................................................. Federation has sent the entry
forms of the following skiers to the organiser of the above titled event
(please write in capital letters):
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FAMILY
NAME |
FIRST
NAME |
SEX |
CATEGORY |
DATE OF BIRTH |
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I certify that the information listed above is true and that
the registered skier is in possession of a skiing licence and a valid insurance
and relieved the organising Federation, the officials and the IWSF of any
responsibility for any accident which could occur to the skier during the competition
and training.
Je declare que les donnees ci’dessus sont exactes et que le
skieur engage est titulaire d’une licence et d’une assurance en cours de
validite et degage la Federation organisatrice, les officiels et la FISN de
toute responsabilite pour tout accident qui porrait survenir au skieur pendant
la competition et les entrainements.
SIGNATURE OF FEDERATION OFFICIAL .......................................................................................................................
POSITION IN FEDERATION
........................................................................................................
DATE ...............................................
This form to be sent or
faxed to the IWSF Headquarters Office:-
C
P 5537 BO22
40134
Fax:
+ 39 051 615 5015 - Phone: + 39 051 615 2956
with copies to the relevant
World and Region Council Chairmen.