Stage 1: Initial Registration WSDC Cape Town 2012

Initial Registration for WSDC Cape Town 2012

This form must be completed by all nations and independent judges wishing to attend WSDC 2012. Please note that upon receipt of this form, you will receive a
confirmation e-mail. However notification of your successful application will only be sent during stage 2 of registrations (5-9 September 2011).

If you have any questions please email keri.cloete@gmail.com.

General information
Name: Email: Contact Number: Nation:

(to be completed only by the Team Manager):

If you wish to participate as an independent judge, please state INDEPENDENT

Delegation information
Number of Speakers: Number of Coaches: Number of Judges: Number of Observers:
Please note that observers pay an increased registration fee of ZAR 9000, and that team managers who are neither a coach nor judge will be subject to paying the observer fee. In addition, countries should indicate here the number of individuals they would ideally like to enter into WSDC 2012; however countries are only guaranteed 7 delegates (including one judge and one coach) or 6 delegates, if they are unable to send a judge. Success of additional delegate slots will be announced during stage 2 of registration.

Page 1 of 2

Stage 1: Initial Registration WSDC Cape Town 2012

Please complete this form as accurately as possible, specific delegate details will only be required during later stages of registration. Only one registration form per nation will be accepted. You will receive a confirmation e-mail on receipt of this form, and then will be informed of the success of your application by no later than 12 September 2011. Please return this form to keri.cloete@gmail.com by no later than the 31st August 2011.

Thank you Kerilynne Cloete Registration Director WSDC Cape Town 2012

Page 2 of 2