INTERNATIONAL GRAPPLING FEDERATION Code: 303291806, Address: Kestučio str. 9, Lithuania, LT-71132, Tel. +37064561005, Šakiai, E-mail : info@grappling.lt, Website: www.grapplingfederation.com, Bank: AB Luminor bank, Account No. IBAN: LT464010051002235903, SWIFT: AGBLLT2X LICENCE - REGISTRATION CARD No. Event: WORLD GRAPPLING IGF CHAMPIONSHIP Date: 2018-10-26/29 10:00:00 Venue: Lietuvos rytas arena, Ozo str. 14 A, Vilnius/Lithuania Athlete name, surname: Group: Weight category: Birth date: Country: Phone: E-mail: Club: name, surname: I, _________________________________ do hereby submit my application to the IGF (International Grappling Federation) regarding the issue of a licence - registration card to participate in the tournament. I am aware and agree with IGF regulations and provisions of the tournament and fully understand the risk of the tournament for my health. I confirm that I am in good health and agree to follow the World Anti-Doping Code and use no prohibited substances. I take responsibility for my own health and safety and I will not hold the organizer of the tournament liable formy health and safety. I agree to hold harmless the organizer, should I become injured. If necessary, I agree and authorise medical personnel to provide me with any necessary help. I agree that I may be photographed or video recorded during the tournament and that it may be broadcastall over the world. I hereby give my consent to having my likeness shown, publicized,commented and/or reported, and I will not complain about it to the organizers. I have read and understood every provision of this release. I am legally competent and sign this application freely. By signing this applicationI accept full responsibility for any risks and agree not to hold the organizers of this tournament liable for any risks that may happen to me. Athlete Name, surname signature: date: Coach Name, surname signature: date: age representative – Name, surname, signature: date: www.grapplingfederation.com
INTERNATIONAL GRAPPLING FEDERATION Code: 303291806, Address: Kestučio str. 9, Šakiai, Lithuania, LT-71132, Tel. +37064561005, E-mail : info@grappling.lt, Website: www.grapplingfederation.com, Bank: AB Luminor bank, Account No. IBAN: LT464010051002235903, SWIFT: AGBLLT2X LICENCE - REGISTRATION CARD No. Event: WORLD GRAPPLING IGF CHAMPIONSHIP Date: 2018-10-26/29 10:00:00 Venue: Lietuvos rytas arena, Ozo str. 14 A, Vilnius/Lithuania Athlete name, surname: Group: Weight category: Birth date: Country: Phone: E-mail: Club: name, surname: I, _________________________________ do hereby submit my application to the IGF (International Grappling Federation) regarding the issue of a licence - registration card to participate in the tournament. I am aware and agree with IGF regulations and provisions of the tournament and fully understand the risk of the tournament for my health. I confirm that I am in good health and agree to follow the World Anti-Doping Code and use no prohibited substances. I take responsibility for my own health and safety and I will not hold the organizer of the tournament liable formy health and safety. I agree to hold harmless the organizer, should I become injured. If necessary, I agree and authorise medical personnel to provide me with any necessary help. I agree that I may be photographed or video recorded during the tournament and that it may be broadcastall over the world. I hereby give my consent to having my likeness shown, publicized,commented and/or reported, and I will not complain about it to the organizers. I have read and understood every provision of this release. I am legally competent and sign this application freely. By signing this applicationI accept full responsibility for any risks and agree not to hold the organizers of this tournament liable for any risks that may happen to me. Athlete Name, surname signature: date: Coach Name, surname signature: date: – age representative Name, surname, signature: date: www.grapplingfederation.com