REGISTRATION FOR Apnea Constant Weight Contest

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Event Name

Name

Family Name

that I am above 18 years of age

Date of Birth

Nationality

Mobile number

Telephone number

Emergency contact name

Emergency phone number

Declared Depth

Declared Time

Home address

Email - Please use a valid email to receive registration confirmation and payment details

Name of your health insurance

Policy Number

that I attended the mandatory technical meeting prior to the Apnea Contest

that I have a diving license
Attach a copy of your diving license:

that payment for the race will be made prior to the event at:

- Are you are arriving from outside Lebanon?

- From which city will you be arriving?

- What is your approximate date of arrival?

- I plan to take part in:

that I have read all the material and the rules and regulations mentioned above.

that Lebanon Water Festival Organization do not bear any liability in case of accident. I confirm that I have a valid medical insurance and that safety measures are to be respected at all times.