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Official Entry Form – Lumberjack Competitions
Note: apply early, registration could be limited for some events

Team Competitions - B Class

Please enter our team for the Kapuskasing Lumberjack Heritage Festival des bûcherons competitions. We understand that team fee is $230. Entry fee includes Heritage Festival pass for each competitor, as well as the competition.

 
 
* indicates a required field

Team Name *


(please be original)
Note: A team must consist of no less than 4 and no more than 6 active members and at least one female must compete per team.

Team Captain *


Please provide the team captain's contact information below

Phone # *


Fax #


Address *


E-Mail


Team Member #1's Name *


Team Member #1's Medical Insurance # *


Team Member #2's Name *


Team Member #2's Medical Insurance # *


Team Member #3's Name *


Team Member #3's Medical Insurance # *


Team Member #4's Name *


Team Member #4's Medical Insurance # *


Team Member #5's Name


Team Member #5's Medical Insurance #


Team Member #6's Name


Team Member #6's Medical Insurance #


Medical Coverage in Canada (whole team)? *

Province of Issue *


I agree to the following terms and conditions


Having read the rules and regulations, I/we hereby agree to abide by the same and accept the decisions of the judges, timers or event officials as final. I/we also agree to hold harmless the Kapuskasing Lumberjack Heritage Festival des bûcherons from any and all claims for damages, injury and loss that I/we sustain during my/our performance and I/we accept full responsibility for all such damages, injury and loss arising from my/our performance.  
My team understands the event rules and that any unsportsmanlike act or conduct will result in immediate disqualification of the individual (and likely the team). As well, no competitor may consume alcohol until events are completed. There will be no exceptions for either case. I represent my team under all circumstances. This has been clearly explained to all of my team. Our team will compete fairly and honestly. Any suspicion of unfair competition or tampering will result in disqualification at the discretion of any judge, timer or event official, without question.

Payment method (Billing - $230) *

Sorry we cannot accept credit cards at this moment.  We apologize for this inconvenience.
Attachments
 

Please  send your cheque or money order to:

Kapuskasing Economic Development Corporation
88 Riverside Drive
Kapuskasing , Ontario
P5N 1B3

TO FAX THIS FORM, PLEASE PRINT AND FAX TO 705-337-1741

 
88 Riverside Drive, Kapuskasing, ON, P5N 1B3
Tel: (705)335-2341   Fax: (705)337-1741
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