Registration form Registration for ORLEN Olympics has been completed Competitions For all (OPEN category) For ORLEN group employees Select categories E-mail address: Fill input Incorrect email format Incorrect email domain For ORLEN group employees Individual registration Team registration Disciplines: You may choose a maximum of two disciplines. {{discipline.label}} Choose one or two disciplines Yacht class: Fill input Team name: Fill input Captain’s first name and surname: Fill input Company name: Fill input Phone: Fill input Captain’s work email address: Team roster: Add player Remove player The minimum number of players is 6 Player No. {{zawodnik.id}} 1 Fill input 1 Fill input Shirt size S M L XL XXL In relation and as part of my participation in the ORLEN OLYMPICS 2019 taking place on 8 June 2019 (hereinafter: "Competition"), I hereby declare that I am expressing I agree to use for free for a period of five years, including the distribution of my image by: Polski Koncern Naftowy ORLEN Spółka Akcyjna with its registered office in Płock, 7 Chemików Street, entered into the Register of Entrepreneurs of the National Court Register maintained by the District Court for the Capital City of Warsaw in Warsaw, 14th Commercial Division of the National Court Register under KRS number: 0000028860, NIP: 774 00 01 454, share capital / paid-up: 534.363.326, 25PLN (hereinafter: "PKN ORLEN") and MyPlace sp. o.o. with its registered office in Warsaw at 42 Młynarska Street, entered into the Register of Entrepreneurs of the National Court Register maintained by the District Court for the capital city of Warsaw in Warsaw, XII Commercial Department of the National Court Register under KRS number 0000274560, NIP number: 7010054550, REGON: 140858208, with share capital of 300.000,00 PLN (hereinafter referred to as the "Organizer") in the scope of cooperation with PKN ORLEN in the implementation of the Competition, recorded in photographs and film materials (including video and multimedia), made in connection with my participation in the Competition and ORLEN OLYMPICS 2019, by using my image in particular in informational, advertising and promotional materials of PKN ORLEN, including materials transmitted via Internet and Intranet Network (in particular internal media of PKN ORLEN), placement of ORLEN Studio screens, folders, advertising leaflets, corporate materials printed at any time and place on the territory of Poland and abroad, and processing and dissemination of the processed image in the above scope. The above consent entitles PKN ORLEN and the Organizer to transfer to third parties acting on their behalf, as specified in this Statement, the permission to distribute the image within the organization of the Competition and ORLEN OLYMPICS 2019. I also declare that the consent expressed in this Statement exhausts all my claims that may arise in relation to PKN ORLEN and the Organizer and entities cooperating with them in organizing the Competition and ORLEN OLYMPICS 2019. At the same time, I declare that the right to give consent to the dissemination of my image is not limited by any rights of third parties. Acceptance is required I agree to the processing of my personal data provided in the Application by Polski Koncern Naftowy ORLEN S.A., with its registered office in Płock, at 7 Chemików Street, 09-411 Płock for the purposes of organizing and running the Competition organized as part of ORLEN OLYMPICS 2019. Acceptance is required I declare that my current state of health allows me to participate in the Competition and that I am taking part in them voluntarily and on my own responsibility, with full awareness of the dangers and risks arising from the nature of this event, which may include on the risk of losing health or life. I declare that by participating in the Competition I am aware that I cannot be under the influence of alcohol and other intoxicants. Acceptance is required At the same time, I declare that I have read the Regulations of the Competition organized as part of ORLEN OLYMPICS 2019 and I fully accept the provisions contained therein and I undertake to comply with them. Pursuant to the regulations, the Personal Data Administrator is Polski Koncern Naftowy ORLEN S.A. with headquarters in Płock, 09-411 Płock, 7 Chemików Street. Personal data is processed in order to participate in the Competition organized as part of ORLEN OLYMPICS 2019. The principles of processing personal data are detailed in the Regulations. I agree to undergo verification at the Race Office on 7 or 8 June 2019 in accordance with the Regulations. Acceptance is required First name: Fill input Middle name: Surname: Fill input Work telephone no: Fill input Company name: Fill input Department: Fill input Comp.No. / ID No.: Fill input Sex: Woman Man Choose sex Shirt size S M L XL XXL Choose shirt size Disciplines: You may choose a maximum of two disciplines. {{discipline.label}} Choose one or two disciplines Distance(swimming): 50 M 100 M Select distance Cycling level: Advanced level Recreation Choose level In relation and as part of my participation in the ORLEN OLYMPICS 2019 taking place on 8 June 2019 (hereinafter: "Competition"), I hereby declare that I am expressing I agree to use for free for a period of five years, including the distribution of my image by: Polski Koncern Naftowy ORLEN Spółka Akcyjna with its registered office in Płock, 7 Chemików Street, entered into the Register of Entrepreneurs of the National Court Register maintained by the District Court for the Capital City of Warsaw in Warsaw, 14th Commercial Division of the National Court Register under KRS number: 0000028860, NIP: 774 00 01 454, share capital / paid-up: 534.363.326, 25PLN (hereinafter: "PKN ORLEN") and MyPlace sp. o.o. with its registered office in Warsaw at 42 Młynarska Street, entered into the Register of Entrepreneurs of the National Court Register maintained by the District Court for the capital city of Warsaw in Warsaw, XII Commercial Department of the National Court Register under KRS number 0000274560, NIP number: 7010054550, REGON: 140858208, with share capital of 300.000,00 PLN (hereinafter referred to as the "Organizer") in the scope of cooperation with PKN ORLEN in the implementation of the Competition, recorded in photographs and film materials (including video and multimedia), made in connection with my participation in the Competition and ORLEN OLYMPICS 2019, by using my image in particular in informational, advertising and promotional materials of PKN ORLEN, including materials transmitted via Internet and Intranet Network (in particular internal media of PKN ORLEN), placement of ORLEN Studio screens, folders, advertising leaflets, corporate materials printed at any time and place on the territory of Poland and abroad, and processing and dissemination of the processed image in the above scope. The above consent entitles PKN ORLEN and the Organizer to transfer to third parties acting on their behalf, as specified in this Statement, the permission to distribute the image within the organization of the Competition and ORLEN OLYMPICS 2019. I also declare that the consent expressed in this Statement exhausts all my claims that may arise in relation to PKN ORLEN and the Organizer and entities cooperating with them in organizing the Competition and ORLEN OLYMPICS 2019. At the same time, I declare that the right to give consent to the dissemination of my image is not limited by any rights of third parties. Acceptance is required I agree to the processing of my personal data provided in the Application by Polski Koncern Naftowy ORLEN S.A., with its registered office in Płock, at 7 Chemików Street, 09-411 Płock for the purposes of organizing and running the Competition organized as part of ORLEN OLYMPICS 2019. Acceptance is required I declare that my current state of health allows me to participate in the Competition and that I am taking part in them voluntarily and on my own responsibility, with full awareness of the dangers and risks arising from the nature of this event, which may include on the risk of losing health or life. I declare that by participating in the Competition I am aware that I cannot be under the influence of alcohol and other intoxicants. Acceptance is required At the same time, I declare that I have read the Regulations of the Competition organized as part of ORLEN OLYMPICS 2019 and I fully accept the provisions contained therein and I undertake to comply with them. Pursuant to the regulations, the Personal Data Administrator is Polski Koncern Naftowy ORLEN S.A. with headquarters in Płock, 09-411 Płock, 7 Chemików Street. Personal data is processed in order to participate in the Competition organized as part of ORLEN OLYMPICS 2019. The principles of processing personal data are detailed in the Regulations. I agree to undergo verification at the Race Office on 7 or 8 June 2019 in accordance with the Regulations. Acceptance is required Registration type: Individual First name: {{Imie}} Middle name {{DrugieImie}} Surname: {{Nazwisko}} Adres e-mail: {{Email}} Work telephone no: {{Telefon}} Company name: {{NazwaSpolki}} Department: {{Dzial}} Comp.No. / ID No.: {{NrKomputerowy}} Sex {{Plec}} Shirt size: {{Rozmiar}} Disciplines: {{DisciplinesHTML.join(', ')}} Cycling level: {{poziomKolarza}} Distance (swimming): {{dlugoscPlywanie.substring(1) }} For all (OPEN category) Individual registration Team registration Disciplines {{discipline.label}} Yacht class: Fill input Team name: Fill input Captain’s first name and surname: Fill input Phone: Fill input Captain’s email address: Team roster: Add player Remove player The minimum number of players is 6 Player No. {{zawodnik.id}} 1 Fill input Shirt size S M L XL XXL In relation and as part of my participation in the ORLEN OLYMPICS 2019 taking place on 8 June 2019 (hereinafter: "Competition"), I hereby declare that I am expressing I agree to use for free for a period of five years, including the distribution of my image by: Polski Koncern Naftowy ORLEN Spółka Akcyjna with its registered office in Płock, 7 Chemików Street, entered into the Register of Entrepreneurs of the National Court Register maintained by the District Court for the Capital City of Warsaw in Warsaw, 14th Commercial Division of the National Court Register under KRS number: 0000028860, NIP: 774 00 01 454, share capital / paid-up: 534.363.326, 25PLN (hereinafter: "PKN ORLEN") and MyPlace sp. o.o. with its registered office in Warsaw at 42 Młynarska Street, entered into the Register of Entrepreneurs of the National Court Register maintained by the District Court for the capital city of Warsaw in Warsaw, XII Commercial Department of the National Court Register under KRS number 0000274560, NIP number: 7010054550, REGON: 140858208, with share capital of 300.000,00 PLN (hereinafter referred to as the "Organizer") in the scope of cooperation with PKN ORLEN in the implementation of the Competition, recorded in photographs and film materials (including video and multimedia), made in connection with my participation in the Competition and ORLEN OLYMPICS 2019, by using my image in particular in informational, advertising and promotional materials of PKN ORLEN, including materials transmitted via Internet and Intranet Network (in particular internal media of PKN ORLEN), placement of ORLEN Studio screens, folders, advertising leaflets, corporate materials printed at any time and place on the territory of Poland and abroad, and processing and dissemination of the processed image in the above scope. The above consent entitles PKN ORLEN and the Organizer to transfer to third parties acting on their behalf, as specified in this Statement, the permission to distribute the image within the organization of the Competition and ORLEN OLYMPICS 2019. I also declare that the consent expressed in this Statement exhausts all my claims that may arise in relation to PKN ORLEN and the Organizer and entities cooperating with them in organizing the Competition and ORLEN OLYMPICS 2019. At the same time, I declare that the right to give consent to the dissemination of my image is not limited by any rights of third parties. Acceptance is required I agree to the processing of my personal data provided in the Application by Polski Koncern Naftowy ORLEN S.A., with its registered office in Płock, at 7 Chemików Street, 09-411 Płock for the purposes of organizing and running the Competition organized as part of ORLEN OLYMPICS 2019. Acceptance is required I declare that my current state of health allows me to participate in the Competition and that I am taking part in them voluntarily and on my own responsibility, with full awareness of the dangers and risks arising from the nature of this event, which may include on the risk of losing health or life. I declare that by participating in the Competition I am aware that I cannot be under the influence of alcohol and other intoxicants. Acceptance is required At the same time, I declare that I have read the Regulations of the Competition organized as part of ORLEN OLYMPICS 2019 and I fully accept the provisions contained therein and I undertake to comply with them. Pursuant to the regulations, the Personal Data Administrator is Polski Koncern Naftowy ORLEN S.A. with headquarters in Płock, 09-411 Płock, 7 Chemików Street. Personal data is processed in order to participate in the Competition organized as part of ORLEN OLYMPICS 2019. The principles of processing personal data are detailed in the Regulations. I agree to undergo verification at the Race Office on 7 or 8 June 2019 in accordance with the Regulations. Acceptance is required First name: Fill input Middle name: Surname: Fill input Work telephone no: Fill input Sex: Woman Man Choose sex Rozmiar koszulki S M L XL XXL Choose shirt size Disciplines: You may choose a maximum of two disciplines. {{discipline.label}} Choose one or two disciplines Distance(swimming): 50 M 100 M Select distance In relation and as part of my participation in the ORLEN OLYMPICS 2019 taking place on 8 June 2019 (hereinafter: "Competition"), I hereby declare that I am expressing I agree to use for free for a period of five years, including the distribution of my image by: Polski Koncern Naftowy ORLEN Spółka Akcyjna with its registered office in Płock, 7 Chemików Street, entered into the Register of Entrepreneurs of the National Court Register maintained by the District Court for the Capital City of Warsaw in Warsaw, 14th Commercial Division of the National Court Register under KRS number: 0000028860, NIP: 774 00 01 454, share capital / paid-up: 534.363.326, 25PLN (hereinafter: "PKN ORLEN") and MyPlace sp. o.o. with its registered office in Warsaw at 42 Młynarska Street, entered into the Register of Entrepreneurs of the National Court Register maintained by the District Court for the capital city of Warsaw in Warsaw, XII Commercial Department of the National Court Register under KRS number 0000274560, NIP number: 7010054550, REGON: 140858208, with share capital of 300.000,00 PLN (hereinafter referred to as the "Organizer") in the scope of cooperation with PKN ORLEN in the implementation of the Competition, recorded in photographs and film materials (including video and multimedia), made in connection with my participation in the Competition and ORLEN OLYMPICS 2019, by using my image in particular in informational, advertising and promotional materials of PKN ORLEN, including materials transmitted via Internet and Intranet Network (in particular internal media of PKN ORLEN), placement of ORLEN Studio screens, folders, advertising leaflets, corporate materials printed at any time and place on the territory of Poland and abroad, and processing and dissemination of the processed image in the above scope. The above consent entitles PKN ORLEN and the Organizer to transfer to third parties acting on their behalf, as specified in this Statement, the permission to distribute the image within the organization of the Competition and ORLEN OLYMPICS 2019. I also declare that the consent expressed in this Statement exhausts all my claims that may arise in relation to PKN ORLEN and the Organizer and entities cooperating with them in organizing the Competition and ORLEN OLYMPICS 2019. At the same time, I declare that the right to give consent to the dissemination of my image is not limited by any rights of third parties. Acceptance is required I agree to the processing of my personal data provided in the Application by Polski Koncern Naftowy ORLEN S.A., with its registered office in Płock, at 7 Chemików Street, 09-411 Płock for the purposes of organizing and running the Competition organized as part of ORLEN OLYMPICS 2019. Acceptance is required I declare that my current state of health allows me to participate in the Competition and that I am taking part in them voluntarily and on my own responsibility, with full awareness of the dangers and risks arising from the nature of this event, which may include on the risk of losing health or life. I declare that by participating in the Competition I am aware that I cannot be under the influence of alcohol and other intoxicants. Acceptance is required At the same time, I declare that I have read the Regulations of the Competition organized as part of ORLEN OLYMPICS 2019 and I fully accept the provisions contained therein and I undertake to comply with them. Pursuant to the regulations, the Personal Data Administrator is Polski Koncern Naftowy ORLEN S.A. with headquarters in Płock, 09-411 Płock, 7 Chemików Street. Personal data is processed in order to participate in the Competition organized as part of ORLEN OLYMPICS 2019. The principles of processing personal data are detailed in the Regulations. I agree to undergo verification at the Race Office on 7 or 8 June 2019 in accordance with the Regulations. Acceptance is required Registration type: Team Disciplines: {{disciplinesOpenTeam[0].label}} Yacht class: {{KlasaJachtu}} Team name: {{NazwaDruzyny}} Captain’s first name and surname: {{ImieKapitana}} Company name: {{NazwaSpolki}} Phone: {{Telefon}} Team roster: Player Shirt size {{zawodnik.Imie}} {{zawodnik.rozmiar}} Registration type: Individual First name: {{Imie}} Middle name {{DrugieImie}} Surname: {{Nazwisko}} Work telephone no: {{Email}} Telephone no:: {{Telefon}} Sex {{Plec}} Shirt size: {{Rozmiar}} Disciplines: {{DisciplinesHTML.join(', ')}} Distance (swimming): {{dlugoscPlywanie.substring(1)}} Registration type: Team Disciplines: {{DisciplinesHTML.join(', ')}} Yacht class: {{KlasaJachtu}} Team name: {{NazwaDruzyny}} Captain’s first name and surname: {{ImieKapitana}} Phone: {{Telefon}} Team roster: Player Company name Shirt size {{zawodnik.Imie}} {{zawodnik.NazwaSpolki}} {{zawodnik.rozmiar}} BACK NEXT SEND