2023 Queen's Gambit Registration

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Please fill this form out in its entirety and submit payment at https://www.swordwind.org/shop

Email *

Last Name *

First Name *

Phone Number *

Birthday *

YYYY

Are you 18 or older? *

Those who will be under the age of 18 on July 14, 2023 must send proof of written consent for participation from a legal parent or guardian.

Yes

Not yet, but I will be 18 years old by July 14, 2023

HEMA School Affiliation *

I have read and agree with the waiver at https://forms.gle/mY9KshxcfWtcSkrw8 *

You will be required to read, sign, and agree to these waivers in person upon arrival. These waivers are found at: https://www.hemaalliance.com/documents

Yes

I give full permission to Swordwind and Queen's Gambit, in perpetuity, for media, including but not limited to audio, photographs, and video, to be taken of me during Queen's Gambit Activities or related events, and to be used in promotion of the program. I understand that there will be no compensation for such use, and I release all claims to any and all damages resulting from such use.

Yes

I will be medically insured July 14-16, 2023 *

Yes

What is your Height? (in feet and inches)

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