BOOTCAMP 2.0 hosted by BEAR CITY on 12./13.11.16 in BERLIN
Bear City’s A Team, the Berlin Bombshells, made it to the WFTDA D2 Playoffs once again! Now, we want to share our experiences from two trips to the USA this year with you! We are offering a Bootcamp on the weekend of the 12th and 13th of November for Intermediate and Advanced players. All skaters who have passed the MST are welcome. The seminars and sessions are held in English, but German explanations are given to those who need it.

The TIME TABLE: (approx.) from 10.00 - 18.00 on Saturday (incl. the Bundesliga game Bear City vs. Ruhrpott Essen) and 10.00 - 17.00 on Sunday.
All other INFORMATION you will receive via the registration confirmation email and about one week prior to the Bootcamp.

QUESTIONS? Please ask bootcamps@bearcityrollerderby.com !

PERSONAL DATA
Please let us know who you are
Legal Name
1st & family name
Your answer
Derby Name
Your answer
Email Address
Your answer
Your League / Home Club
Your answer
City
Your answer
Country
Your answer
Telephone Number
Don't forget the country code
Your answer
Birthdate
MM
/
DD
/
YYYY
SKILL ASSESSMENT
You must have passed your minimum skills requirements to participate in this Bootcamp that is why we ask you to fill out the following:
How many months have you been practicing roller derby?
In years and months, from the moment you started until now.
Your answer
When did you pass your minimum skills test?
If it was too long ago just give us the year :)
MM
/
DD
/
YYYY
In how many games did you play?
Your answer helps us to put you in the right skill level when we have divide the groups.
Your answer
EMERGENCY CONTACTS
Please let us know who to contact in case of emergency
Contact 1: Name
Your answer
Contact 1: Telephone Number
Don't forget the country code
Your answer
Contact 1: Relation to You
Mom, friend, sister...
Your answer
Contact 2: Name
Your answer
Contact 2: Telephone Number
Don't forget the country code
Your answer
Contact 2: Relation to You
Mom, friend, sister...
Your answer
WAIVER FOR VOLUNTARY PARTICIPATION IN TRAINING
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/or scrimmage at the bootcamp.

Therefore, AS A PRECONDITION TO BEING GRANTED PERMISSION TO PARTICIPATE IN TRAINING AND SCRIMMAGE AT the bootcamp, 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 the bootcamp. 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 INELIGABLE 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 trainings 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 trainings 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 the bootcamp trainings and scrimmage, 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 in the bootcamp and/or in other activities related there to.

Required
BOOTCAMP PACKAGE
Are you thinking about a league trip with 10 or more people? Sweet, just contact bootcamps@bearcityrollerderby.com and you’ll receive a special offer! If you have already a special arrangement please check the Box "I am a league trip participant!"
Please choose your package:
PAYMENT & INFO
The participation fee is due before SATURDAY, OCTOBER 29th via PayPal to FAMILY AND FRIENDS to bootcamps@bearcityrollerderby.com.
You will find the details in the registration confirmation email too, along with other informatoin. Your spot is secured once you pay the full participation fee! PLEASE NOTE: You can cancel 14 days prior to the event and get your full participation fee back. If you cancel later than that you have to pay 50% cancellation fee.
Submit
Never submit passwords through Google Forms.
This form was created inside of Bear City Roller Derby. Report Abuse - Terms of Service - Additional Terms