Qualifier Registration | World Drill Championships

World Qualifier Registration

Step 1 of 6

16%

Competitor Information
Name*
First Last
Birth Date*
Phone*
Phone Type*
Secondary Phone (optional)
Secondary Phone Type (optional)
Email*
Enter Email Confirm Email
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Save and Continue Later

Event Registration
Qualifier*
I will be competing in:*
- Solo
- Tandem
Name of Tandem Partner

Save and Continue Later

Acceptance of Responsibility
By signing below, I agree that I have read and consent to all of the stipulations in the Acceptance of Responsibility document.
Signature*
Date*
Are you under the age of 18?*
- Yes
- No
Parent Signature*
Date*

Save and Continue Later

Code of Conduct
By signing below, I agree that I have read and consent to all of the stipulations in the Code of Conduct document.
Signature*
Date*
Parent Signature*
Date*

Save and Continue Later

Publicity Rights Waiver
By signing below, I agree that I have read and consent to all of the stipulations in the Publicity Rights Waiver.
Signature*
Date*
Parent Signature*
Date*

Save and Continue Later

Payment
Registration Total
$0.00
Pre-payment code
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name
This field is for validation purposes and should be left unchanged.

Save and Continue Later