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ON PAGE 4 YOUR PICTURE WILL BE TAKEN FOR YOUR ACCREDITATION BADGE IF AFTER TAKING THE PICTURE YOU WANT TO UPLOAD A DIFFERENT PICTURE YOU WILL GET THAT OPTION
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
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ROLE AT THE TOURNAMENT
*
Please Select
ATHLELE ($290)
SPORT ASSISTANT/COACH (1 FREE PER ATHLETE)
EXTRA ACCREADITED PERSON ($100)
CLASS
*
Please Select
BC1
BC2
BC3
BC4
BC5
OPEN
CLUB NAME
*
Sport Assistant/coach name (THEY STILL MUST REGISTER)
*
Your Athlete's Name (THEY STILL MUST REGISTER)
*
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Are you interested in playing in a teams and pairs exhibition match (IF WE HAVE TIME)
*
Do you have a Team/Pair or Would you like to be placed on one?
*
*
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ACCREDITATION PHOTO
*
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We are awaiting finally booking information from the Host Hotel. There will be a block of discounted rooms secured by the HOC Once we have confirmed the Information we will send out the booking information. YOU MUST STAY AT THE HOST HOTEL TO BE ELIBILE FOR INTERNAIL TRANSPORTATION
Do you want a room at the host hotel?
Please Select
YES
NO
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By registering for the Boccia Blast 2024, you agree to adhere to the Boccia Canada Policy, Rules and Procedures. Link to policy.
*
I Agree
IN CONSIDERATION OF MY REGISTRATION IN BOCCIA BLAST 2024, I HEREBY ASSUME THE LEGAL RESPONSIBILITY OF MYSELF, MY HEIRS, MY EXECUTORS AND ADMINISTRATORS. I RELEASE AND DISCHARGE THE LONDON CANNONBALLS BOCCIA CLUB, THE ORGANIZING COMMITTEE, THE OCPSA, THE CCPSA, THE CITY OF MISSISSAUGA AND THE VOLUNTEERS FROM ALL RESPONSIBILITY FOR ANY ILLNESS, ALLERGY, INJURY OR DAMAGE TO MY PERSON ARISING OUT OF MY PARTICIPATION IN THE THIS EVENT AND/OR TRANSPORTATION TO/FROM THIS EVENT. I DECLARE THAT I AM PHYSICALLY EXAMINED BY A MEDICAL DOCTOR WITHIN THE PAST 12 MONTHS. I CONSENT TO ANY MEDICAL TREATMENT THAT MAY BE REQUIRED IN CASE OF AN ACCIDENT DURING THE EVENT. I AUTHORIZE THE USE OF MY IMAGE AND/OR NAME IN ANY WRITTEN, RADIO, TELEVISION, OR OTHER MEDIA COVERAGE OF THIS EVENT.
*
I Agree
I accept that my contact information may be shared with the media(s) wishing to report on the the Boccia Blast to publicize my participation in the event.
*
I Agree
I confirm that I've read and understood the Terms and Conditions related to the media and pictures in order to complete my athlete's registration. Terms and Conditions related to the media Photographers and videographers assigned by the host organization will be present at the Boccia Blast competition venue. Photos and videos taken during the event may be used for promotional or media purposes without compensation or right of use. The right to use the photos and videos by the London Cannonballs non-profit organization, including the Boccia Blast event, is irrevocable, non-exclusive, non-transferable, without territorial limits, for an unlimited time. I understand that Boccia Blast is a public event and that photos and videos may be taken at any time for public viewing.
*
I Confirm
IF YOU ARE A MINOR A PARENTAL SIGNATURE IS REQUIRED
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IF YOUR TOTALIS 0.00 YOU DO NOT HAVE TO PUT IN YOUR CREDIT CARD INFORMATION
SELECT YOUR ROLE
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( X )
ATHLETE
INCLUDES 1 ACCREDITED SPORT ASSISTANT OR COACH
$
290.00
CAD
ONTARIO ATHLETE
Athletes from Oni
$
190.00
CAD
SPORT ASSISTANT/COACH
$
Free
CAD
EXTRA ACCREDITED PERSON
$
100.00
CAD
Payment Details
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Last Name
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