LGBTI & Heterofriendly Badminton tournament of Strasbourg Saturday 6th of June & Sunday 7th of June 2015 Registration form Personal data Last name: ……………………….…….……..…….. First name: ……….........…………………..…….. Nickname: .……….………………………………… Tel: .......................................................... E-mail: .................................................... @............................................................... Competition No Yes > Are you member of a club? Level which one? ........................................................................................... C‐ C+ B‐ B+ A leasure beginner leasure regular player several years of practice competitor equivalent toNC/D4 playing in competition competitor equivalent to D3/D2/D1 competitor all the others C/B/A Ranking FFBA : .................................................... LGBT : ............................................................................... Registration to the different categories Prices: 17 € for 1 category / 20 € for 2 categories Doubles on Saturday 6th of June / medals and prices ceremonies at 6 pm*: Ladies’ Doubles Men’s Doubles * The ind ica ted time may be changed Looking for a partner Name of the partner Mixed on Sunday 7th of June / medals and prices ceremonies at 6 pm*: Mixed Doubles Fun Come disguised to take part in the FestiBad tournament and be called by your nickname! A prize will be awarded for the best disguise. Will you need an accommodation? Would you like to take part in the restaurant evening on Saturday, starting from 9 pm? I will come with someone else: Yes No Yes Yes No No If yes, last name(s) and first name(s): ............................................................................................ Payment Amount Categories 17 € for 1 category / 20 € for 2 categories Total By signing this registration form, I confirm beeing insured to participate to the FestiBad badminton tournament, either by a membership card at the Fédération Française de Badminton or by my personal insurance. I hearby clear the FestiBad Association in case of physical injury. Date: location: Signature: The registration form is to be sent before the 9th of May 2015 with payment by cheque payable to FestiBad at the following address: FestiBad - Mr DAUENDORFFER - 203a Route de Schirmeck, 67200 Strasbourg FRANCE For further information, please contact FestiBad by e-mail: [email protected] or through our website: www.festibad.org
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