RISE - Pole & Aerial Art Championship
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Entry Forms

Solo Entry Form

Duet Entry Form

Competitor 1 Details

Entrants Full Name(Required)
Max. file size: 24 MB.
Gender

Competitor 2 Details

Entrants Full Name(Required)
Max. file size: 24 MB.
Gender
What Division are you entering?(Required)
Choice of Apparatus(Required)
Age Group(Required)

Legalities

MODEL RELEASE
  • For good and valuable consideration herein acknowledged as received, and by marking your names within this form we / I hereby give RISE and their staff permission to license the images / videos and to use the images / videos in any media for any purpose (except pornographic or defamatory) which may include, among others, advertising, promotion, marketing and packaging for any product or service.
  • We / I agree that the images may be combined with other images, text and graphics, and cropped, altered or modified.
  • We / I agree that we / I have no rights to the images / videos, and all rights to the images / videos belong to RISE.
  • We / I acknowledge and agree that we / I have no further right to additional consideration or accounting, and that we will make no further claim for any reason to RISE.
  • We / I acknowledge and agree that this release is binding upon and we / I agree that this release is irrevocable, worldwide and perpetual, and will be governed by the laws of South Africa.
  • We / I represent and warrant that we / I are at least 18 years of age and have the full legal capacity to execute this release.

    • YOUR MEDICAL HISTORY:

    • Report any medical problems that may affect your ability.
    • Pole dancing is be particularly strenuous on the following parts of your body - Back, Ankles, Knees, Neck, Wrists. Report any physical problems that may affect your ability to participate.

    We take all precautions to ensure the safety of everyone involved.

    • We / I acknowledge that the stage space is limited and we must apply caution when performing.
    • We / I acknowledge that pole dancing can be strenuous and at times, dangerous.
    • We / I will rely upon our / my own judgment in participating in any manoeuvres.
    • We / I have been told about the potential risks to our / my health and freely accept that by participating we / I run the risk of injury, particularly if we / I were to fall from, or knock ourselves / myself on the pole.
    • We / I will not hold RISE liable for any pre-existing injuries or medical condition which may be exacerbated if we / I participate.
    • We / I will not hold RISE liable for any injury, loss or damage which may be sustained as a result of participating in any and all RISE Events / Competitions.
    • We / I hereby for ourselves / myself, any heirs, executors, administrators or anyone else who might claim on our / my behalf, contract not to sue.
    • We / I waive, release and discharge RISE, its founders, staff, agents, subcontractors and representatives of all liability, claims, damage, costs or expenses which we / I may have against them arising out of or in connection with our/ my participation in any RISE event.
    • This release extends to all claims of any kind what so ever, foreseen or unforeseen, known or unknown.
    I am 18 years or older and I agree to the Model Release and Indemnity above

    PAYMENT OPTIONS

    Duet Entry @ R600(Required)