EROC 2019 - Booking Form
European Roller Derby Organizational Conference.
January 31st - February 3rd 2019, Berlin, Germany.


+++

IMPORTANT INFORMATION

Please submit only one form per league (unless you are registering more than 10 skaters/officials /NSOs).
The Date used for the Period Discount corresponds to the date that you submitted on the Booking Form.
After you have submitted your Booking Form, the EROC Team will send you a Pre-Confirmation Email.
This Pre-Confirmation Email will contain the exact amount to be paid, the full recap of your attendee group and EROC's Bank Details.
Please proceed with the payment as soon as you receive this Pre-Confirmation Email.
Your booking is fully validated once the EROC Team has received the full payment of your booking.
Please inform the EROC Team of any changes on your Booking or if your Pre-Confirmation Email is wrong.
Payment should be done in EUROS and without charges to the beneficiary.
If the payment received does not correspond to the exact amount to be paid, the EROC Team will ask you to transfer the remaining amount.
You will receive a paid invoice once the payment has been fully made. The paid invoice serves as a validation to your booking.
Payment of the EROC fee can only be done via Bank Transfer. We do not accept PayPal.
Discounts cannot be made retroactively.


+++

REFUNDS

Bear City Roller Derby should be notified of cancellations in writing.
If the EROC Team receives cancellations before January 15th, 2019, the total conference fee will be refunded.
Cancellations after this date and "No Shows“ are non-refundable and are liable for the full registration fee.

Please note that refunds will only be made after the conference.


+++

For more information about passes, venue, content, please visit our website or contact us by email.
EROC website: http://bearcityrollerderby.com/eroc-2019/
EROC email: eroc@bearcityrollerderby.com

Email address *
Discounts: Deadlines and Information
A League is entitled to receive a Period Discount and a Group Discount.

The Period Discounts corresponds to the period in which the booking happens: Super Early Bird, Early Bird or Late period.
The Date used for the Period Discount corresponds to the date that you submitted on the Booking Form.

Period Discount Deadlines:
- Super Early Bird: until December 31st, 2018 (until 23:59 GMT+2)
- Early Bird: until January 20th, 2019 (until 23:59 GMT+2)

A League is entitled to get a group discount when registering a group of persons at once.
The Group Discounts is given when the league register a group of 3 people max, a group of 5 people max or a group of more than 5 people.

Single Participants are not entitled to a Group Discount.

Single Participant
Group Participation
Group Discounts
How To Book
Please fill in the information below.
The EROC Team will get back to you with a Confirmation Email that contains the exact amount to be paid (taking into account the Period Discount and Group Discount), the full recap of your attendee group and EROC's Bank Details.
Once the payment is done, the EROC Team will get back to you with a confirmation of payment invoice that serves as a validation to your booking.
Your League *
Example: Bear City Roller Derby
Your answer
Contact Name and Address for Invoice *
Your answer
Telephone *
Please provide the telephone number of the contact person for the league
Your answer
Attendees
Attendee 1: Real name
Your answer
Attendee 1: Derby name
Your answer
Attendee 1 will participate in:
Attendee 2: Real name
Your answer
Attendee 2: Derby name
Your answer
Attendee 2 will participate in:
Attendee 3: Real name
Your answer
Attendee 3: Derby name
Your answer
Attendee 3 will participate in:
Attendee 4: Real name
Your answer
Attendee 4: Derby name
Your answer
Attendee 4 will participate in:
Attendee 5: Real name
Your answer
Attendee 5: Derby name
Your answer
Attendee 5 will participate in:
Attendee 6: Real name
Your answer
Attendee 6: Derby name
Your answer
Attendee 6 will participate in:
Attendee 7: Real name
Your answer
Attendee 7: Derby name
Your answer
Attendee 7 will participate in:
Attendee 8: Real name
Your answer
Attendee 8: Derby name
Your answer
Attendee 8 will participate in:
Attendee 9: Real name
Your answer
Attendee 9: Derby name
Your answer
Attendee 9 will participate in:
Attendee 10: Real name
Your answer
Attendee 10: Derby name
Your answer
Attendee 10 will participate in:
Waiver
ASSUMPTION OF INJURY RISKS
There is a risk of injuries, both serious and minor, associated with participation in roller derby. The risks include, but are not limited to: injury to the head, neck, or spine (including paralysis); injury to the muscular or skeletal systems; injury to internal or external organs; loss of or damage to sight, hearing, or teeth; long or short-term disability.

IT IS THE RESPONSIBILITY OF EACH INDIVIDUAL PARTICIPANT to have health insurance coverage sufficient to provide for medical or dental services and/or equipment required to treat any injury, minor or catastrophic, sustained or incurred as a result of participating in any training and scrimmage.

Therefore, AS A PRECONDITION TO BEING GRANTED PERMISSION TO PARTICIPATE IN TRAINING AND SCRIMMAGE, EACH PARTICIPANT shall read the agreement set forth below in order to make an educated choice to participate or not participate.

To that end, and before releasing Bear City Roller Derby and Sport Club Lurich 02 e.V. from all actions, claims, or demands related to any injury you may sustain as a result of participating in EROC 2019. please give serious consideration to the possible ramifications. Understand that the causes of possible injury are many, but among them are: injury from bodily contact, incidental to or inherent in the nature of the sport; slipping, falling, or tripping on the playing surface, regardless of its physical or environmental conditions; injury from warming up; injury due to supervision by referees or officials, or injury due to a disparity between and among other players or teams with respect to experience level, strength, height, weight, age, ability, and the relative competitiveness or maturity of, between, or among other participants.

FAILURE TO COMPLETE THIS FORM WILL RENDER AN INDIVIDUAL INELIGIBLE TO PARTICIPATE.

I have read the above ASSUMPTION OF INJURY RISKS and understand its contents. I acknowledge the risk of injury that may result from participation in the bootcamp, training and scrimmage and am willing to and hereby do voluntarily assume all risks of harm associated with my participation.
I certify that to the best of my knowledge, I am physically fit and able to participate in the the bootcamp, training and Scrimmage, that I am in good health, and that I am unaware of any medical condition, which might make my participation inadvisable.

In consideration of Bear City Roller Derby and Sport Club Lurich 02 e.V. permitting me to participate in EROC 2019, I knowingly and intentionally give up any legal right that I, my heirs, or legal representatives have or may have against Bear City Roller Derby and Sport Club Lurich 02 e.V, its trustees, officers, agents, employees, or insurers, from any action, claim, or demand that I, my heirs, or my legal representatives have or may have for any and all personal injuries I may suffer or sustain, regardless of cause or fault, on- or off-the-track, as a result of my voluntary participation and/or in other activities related thereto.

I hereby confirm, that I have read, understood and accept the above waiver. *
Required
By sending in this registration form, I acknowledge that I commit myself to the immediate payment of the full conference fee. I have taken notice of the cancellation terms on this form. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Bear City Roller Derby. Report Abuse - Terms of Service