Western Washington University – Veni. Vidi. Ascendi. 2015 Campus Recreation Services, Bellingham WA Saturday, February 7th, 2015 Western Washington University is looking forward to hosting the 8th Annual Veni. Vidi. Ascendi. Bouldering Competition. In order to provide everyone with ample climbing time and space, registration will be capped at 150 so be sure to register early! A wait list will be kept after the cap is reached in case of drop-outs. In order to accommodate non-NC3 competing students as well as community members we will also be saving 20 spots of the 150 available for this type of participant. If by the end of registration on 1/23/15 these 20 spots are not filled, they will go to registrations on the wait list. Rules: Judges have final say on all rulings. A competitor must be established on the start holds before continuing. Competitors must match hands or show control on the finish hold. If there is a technical difficulty with a route (i.e. a hold spins or breaks) and climber falls due to the technical difficulty the attempt does not count against them. If they proceed past the difficulty and fall later on the route the fall counts against their score. Unsportsmanlike like conduct will not be tolerated. If a student is removed from the competition they are dropped from the NC3 and his or her school is deducted 75 points. If a climber uses a hold that is not on route they are required to step off the route and a fall is recorded. Comp officials reserve the right to bump competitors House Rules: Each route has a 5-attempt limit. You must complete the route in 5-attempts for it to count in your scored routes. No use of non-taped surfaces or bolt holes, but flagging is permitted. Flash bonus is 10 points. Registration Fees & Schedule (schedule subject to change): Registration Fees: $25 Students early-reg If you would like to register as an NC3 participant you must fill out the NC3 Eligibility Form and have it signed by YOUR UNIVERSITY’S COORDINATOR. $30 General public and late registration (after Jan. 17th @ 5pm) There will be NO day-of registration Registration Deadlines: Friday, January 16 @ 5:00pm Pre-registration deadline Friday, January 23 @5:00pm FINAL registration deadline Local Accommodations: The following hotels partner with WWU. When you book your rooms, mention that you are participating in the Western Washington University Climbing Competition and you will receive a discount on your rooms: Holiday Inn - $94/night+tax Best Western Meridian - $107/night+tax Contact Info: Nancy Hernandez Operations and Climbing Wall Coordinator Western Washington University 360-650-4286 1 of 5 Registration Form Western Washington University presents... Veni. Vidi. Ascendi. Feb. 7th, 2015 Competition Information Registration @ 8:00 a.m. Heat 1 @ 9:00 a.m. Heat 2 @ 11:40a.m. Heat 3 @ 2:20p.m. Dyno Comp @ 5:15 p.m. Finals @ 6:30 p.m. Awards @ 7:30 p.m. Climber Information Name: School: Type of Affiliation: Student Fac/Staff Other: Email: Tank Top Size: Phone: Small Medium Large Xtra-Large Notes: Shirts are free for pre-registered participants only. Shirts will be on sale for $10 during the comp. Registration Fees Student: $25 (before January 17th) Division Select one: Men’s Women’s Select one: Beginner (V0-V1) Intermediate (V2-V3) Advanced (V4-V5) Open (V6+) Fac/Staff, Other, or registration after Jan 17th: $30 Payment Method Cash Check (payable to WWU) Visa/MC Card #: Expiration date on card: / / Billing zip code: Amount to be charged (see fees above): $ Signature of cardholder: By signing here the cardholder agrees to pay the above stated amount. Office Use Only: Date: Cashier: Please fax, deliver, or mail completed registration form and payment to: Wade King Student Recreation Center 516 High Street MS-9098 Bellingham, WA 98225 Fax: (360) 650-7394 2 of 5 Eligibility Form All participants of the Northwest Collegiate Climbing Circuit (NC3) must have this form completed and approved by their school’s Program Coordinator before they are eligible to enroll in the NC3. GENERAL INFORMATION: Name of Student: _______________________________________________ School/Affiliation: ______________________________________________ Student ID #: ______________________________ Email: _______________________________ Phone: (____ ____ ____) ____ ____ ____ - ____ ____ ____ ____ ELIGIBILITY CERTIFICATION: As a participant in the Northwest Collegiate Climbing Circuit, you are required to be a current student of a recognized university. Please provide evidence of your current status as a student by showing one of the following to your Program Coordinator: Copy of Current Class Schedule or Registration Other (needs to be authorized by Program Coordinator and/or NC3 officiate) By signing below, I ________________________________, affirm that the following information is accurate and complete to the best of my knowledge. Participant’s Signature: ________________________________ Date: ____/____/____ **The inability to provide this evidence, or providing false evidence, will result in the termination of your participation as well as the deletion of your score. TO BE COMPLETED BY AUTHORIZED COORDINATOR Please indicate which type of evidence the participant has shown you as proof that they are a current student at your university. Class Schedule/Registration: ______ Student ID Card w/ current term sticker______ Other: ______ If other, please explain: __________________________________________________________ Coordinator’s Signature: ________________________________________ Date: ____/____/_____ 3 of 5 PERMISSION TO USE PHOTOGRAPH OR LIKENESS I hereby give my permission to Western Washington University and/or the Northwest Collegiate Climbing Competitions to use my photographic image, in whole or in part, with or without my name, for any Climbing Wall specific or Northwest Collegiate Climbing Competitions lawful purpose including for example such purposes as public information, illustration, advertising, web content and other publicity and marketing activities at the discretion of Western Washington University. Signature ___________________________________________________ Printed name ________________________________________________ Date _______________ 4 of 5 ACKNOWLEDGMENT OF RISK AND HOLD HARMLESS AGREEMENT I hereby acknowledge that I have voluntarily chosen to use the facilities and participate in the activities of the Department of Campus Recreation, including, but not limited to, Student Recreation Center, Climbing Wall, Open Recreation, Personal Training, Weight Training, Cardiovascular Training, Intramural Sports, Aquatics, Carver Gym & Pool, Play Fields and Fitness/ Aerobic/Martial Arts Classes (hereinafter called "program"). I understand the risks involved in the program. I recognize that the programs and its activities involves risk of injury and I agree to accept any and all risks associated with it, including but not limited to property damage or loss, minor bodily injury, severe bodily injury, and death. Furthermore, I recognize that participation in the program involves activities and risks incidental thereto, including but not limited to, travel to and from competitions, practices, classes, limited availability of medical assistance and the possible reckless conduct of other participants. I am voluntarily participating in the program with the knowledge of the risks involved and hereby agree to accept any and all inherent risks of property damage, bodily injury, or death. In consideration of my participation in the program and to the fullest extent permitted by law, I agree to indemnify, defend and hold harmless Western Washington University, its officers, directors, employees, agents, volunteers and assigns from and against all claims arising out of or resulting from my participation in the program. "Claim" as used in this agreement means any financial loss, claim, suit, action, damage, or expense, including but not limited to attorney's fees, attributable to bodily injury, sickness, disease or death, or injury to or destruction of tangible property including loss of use resulting therefrom. In addition, I hereby voluntarily hold harmless Western Washington University, its officers, directors, employees, agents, volunteers and assigns from any and all claims, both present and future, that may be made by me, my family, estate, heirs or assigns. I hereby expressly agree to indemnify, defend, and hold harmless Western Washington University, its officers, directors, employees, agents, volunteers and assigns for any claim arising out of or incident to my participation in the program, unless claim is caused by the sole negligence or willful misconduct of Western Washington University. I also understand that Western Washington University does not provide any medical or dental insurance or life insurance to cover bodily injury, illness or death, nor insurance for personal property damage or loss, nor insurance for liability arising out of my negligent acts or omissions; and I acknowledge that I am completely responsible for my own insurance to cover these expenses. I further understand that this acknowledgment of risk and hold harmless is intended to be as broad and inclusive as permitted by the laws of the State of Washington and that if any portion hereof is held invalid, I agree that the balance shall, notwithstanding, continue in full legal force and effect. I agree that this acknowledgment of risk and hold harmless is effective for as long as I participate in the program. I agree as a student, voluntary member or voluntary guest of the Recreation Center to abide by all Campus Recreation policies, rules and regulations, as well as the Student Rights and Responsibility Code (WAC 516-23). PLEASE PRINT Participants Name:_________________________________________________________________________ Last First Participants Signature:_____________________________________________ Middle Name Date:___________________ Email Address ____________________________________________________________________________ Membership #:_____________________ [ ] GUEST PASS Sponsor’s Name:_______________________ IF THE PARTICIPANT IS UNDER THE AGE OF 18, THE SIGNATURE OF A PARENT OR GUARDIAN IS REQUIRED BELOW. Parent Name:____________________________ Signature:_________________________ Date:_________ 5 of 5
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