SURVIV-ILL – iBreakFree

DUE TO THE RISE IN COVID-19 CASES IN TEXAS, SURVIV-ILL 2021 WILL NOW BE ONLINE ONLY

THE BREAKING WORLD’S

TOUGHEST BATTLE.

THERE IS $13,500 USD ON THE LINE AND ONE LAST CHANCE TO EARN POINTS IN THE BFWW CHAMPIONSHIP SERIES. WILL YOU BE THE SURVIV-ILL CHAMP?

ENTER NOW

MAJOR SURVIV-ILL 2021 UPDATE!

BBOY/BGIRL
PRIZE BREAKDOWN

1ST PLACE - $3,500 USD

2ND - $1,500

3RD - $750

4TH - $750

MVP - $250

HOW TO ENTER

REGISTER NOW

SURVIV-ILL - PRE-REGISTRATION

CATEGORY *
Which category will you be competing in at Surviv-ILL 2021?BBOYBGIRL
FULL NAME *Please put your designated first and last name
BREAKER NAME *Please use the "Artist" name you'd like to use for all publication
COUNTRY *
CREW
INSTAGRAM HANDLE
Email
Waiver + Social Media Release 1. Media Liability Release I hereby authorize Break Free Worldwide (BFWW) to use my photo and/or video media related to my experiences and participation in events. I understand this information and media may be used in publications, including electronic publications, social media, audiovisual presentations, promotional literature, advertising, community presentations, letters to area legislators and media and/or other similar ways. 2. Waiver of Liability I/we realize that participation in dance events and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to the use of any and all spaces, programs, and online events curated by Break Free Worldwide (BFWW). I/we agree to release and hold harmless BFWW including its teachers, dancers, staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future. I/we will not hold Break Free liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes. Furthermore, I/we agree to obey the class and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by BFWW. I understand that Break Free are licensed, accredited and insured organizations. In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to the BFWW as soon as possible 3. Refund Policy I hereby understand that the participation fee I am paying in order to participate in Surviv-ILL Global Championship 2021 is non-refundable - after I complete my payment and registration form, I understand that it is at my discretion and responsibility to submit the video necessary to attempt qualification for the TOP 32 bracket in my category.
Acknowledgment of Waiver, Social Media Release & Refund Policy *
By checking below, I acknowledge that I have reviewed the liability waiver, digital/social media release, refund policy and I, the person designated on this form, comply in full to all terms and conditions set.Digital Signature

Verification

Please enter any two digits *Example: 12
This box is for spam protection - please leave it blank:

SURVIV-ILL NOW ONLINE!

BBOY/BGIRL
PRIZE BREAKDOWN

1ST PLACE - $3,500 USD

2ND - $1,500

3RD - $750

4TH - $750

MVP - $250

HOW TO ENTER

REGISTER

SURVIV-ILL - PRE-REGISTRATION

CATEGORY *
Which category will you be competing in at Surviv-ILL 2021?BBOYBGIRL
FULL NAME *Please put your designated first and last name
BREAKER NAME *Please use the "Artist" name you'd like to use for all publication
COUNTRY *
CREW
INSTAGRAM HANDLE
Email
Waiver + Social Media Release 1. Media Liability Release I hereby authorize Break Free Worldwide (BFWW) to use my photo and/or video media related to my experiences and participation in events. I understand this information and media may be used in publications, including electronic publications, social media, audiovisual presentations, promotional literature, advertising, community presentations, letters to area legislators and media and/or other similar ways. 2. Waiver of Liability I/we realize that participation in dance events and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to the use of any and all spaces, programs, and online events curated by Break Free Worldwide (BFWW). I/we agree to release and hold harmless BFWW including its teachers, dancers, staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future. I/we will not hold Break Free liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes. Furthermore, I/we agree to obey the class and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by BFWW. I understand that Break Free are licensed, accredited and insured organizations. In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to the BFWW as soon as possible 3. Refund Policy I hereby understand that the participation fee I am paying in order to participate in Surviv-ILL Global Championship 2021 is non-refundable - after I complete my payment and registration form, I understand that it is at my discretion and responsibility to submit the video necessary to attempt qualification for the TOP 32 bracket in my category.
Acknowledgment of Waiver, Social Media Release & Refund Policy *
By checking below, I acknowledge that I have reviewed the liability waiver, digital/social media release, refund policy and I, the person designated on this form, comply in full to all terms and conditions set.Digital Signature