Lumberjack Heritage Festival des būcherons
Kapuskasing, Ontario

Official Entry Form – Lumberjack Competitions
Note: apply early, registration could be limited for some events

Team Competitions - B Class

Please enter our team for the Kapuskasing Lumberjack Heritage Festival des būcherons competitions. We understand that team fee is $230. Entry fee includes Heritage Festival pass for each competitor, as well as the competition.

Team name: (please be original)
Note: A team must consist of no less than 4 and no more than 6 active members and at least one female must compete per team.

Team captain:

Team lumberjacks / jills:

Team Member’s Name

 Medical Insurance Number of each team member
1.
2.
3.
4.
5.
6.

Medical Coverage in Canada (entire team)?

Province of Issue

  Team Captain

Phone:   Fax:
Address: E-mail:
Address:

Medical Coverage in Canada (whole team)? 

Having read the rules and regulations, I/we hereby agree to abide by the same and accept the decisions of the judges, timers or event officials as final. I/we also agree to hold harmless the Kapuskasing Lumberjack Heritage Festival des būcherons from any and all claims for damages, injury and loss that I/we sustain during my/our performance and I/we accept full responsibility for all such damages, injury and loss arising from my/our performance.  
My team understands the event rules and that any unsportsmanlike act or conduct will result in immediate disqualification of the individual (and likely the team). As well, no competitor may consume alcohol until events are completed. There will be no exceptions for either case. I represent my team under all circumstances. This has been clearly explained to all of my team. Our team will compete fairly and honestly. Any suspicion of unfair competition or tampering will result in disqualification at the discretion of any judge, timer or event official, without question.

Team Captain on behalf of Team:  
Date:

 

Please select one of the following payment methods:

BILLING- $230

Money Order or Cheque
Sorry we cannot accept credit cards at this moment. We apologize for this inconvenience.

Please  send your cheque or money order to:

Kapuskasing Economic Development Corporation
88 Riverside Drive
Kapuskasing , Ontario
P5N 1B3

TO FAX THIS FORM, SELECT THE PRINT OPTION UNDER THE FILE MENU
FAX TO 705-337-1741