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World Record Fire Breathing Participation Form
What: 360 Fire Breathers, Flow Artists and Friends, celebrating all that is beautiful in the World, ending with the Fire Breathing World Record Attempt, with a memorable mention in the Guinness Book of World Records.

Where: Ommen, The Netherlands.

When: Friday August 18th at 12.00 until Sunday August 20th 12.00 (arrival for world record at the latest on Saturday the 19th at 11.00).

Pricing: we offer two all-inclusive packages. For €84,50 you can participate with the World Record attempt, stay for two nights at our campsite (bathroom with warm showers), join us for breakfast, lunch and dinner and have unlimited access to non-alcoholic drinks for the duration of your stay. You will also have access to our Flowfield and be entertained by music and night jams. There will be a range of free workshops including a 5 hour Poi Workshop by Ivan 'Mel' Gorbunov. It is also possible to stay with us and enjoy all the benefits just mentioned without participation in the World Record Attempt (Flow only, Photographer or just spectator) at the price of €70,-. Several basic options from as low as €20,-  are also available. Check out the rest of this form and Fierce360.nl for more detailed information.
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Full Name *
E-mail adress *
Mobile number *
Place of residence *
Zip/postal code *
street + house number *
Country *
Package Options *
Required
Poi Workshop by Ivan 'Mel' Gorbunov
A 4-5 hour workshop by world renowned Flow Artist Mel Gorbunov. There will also be other workshops (including beginner Poi) offered on site, but we expect this workshop to complete very quickly (no more than 2x20 participants) so you MUST subscribe beforehand to have a spot guaranteed.
Fixed tent accommodation
Fixed tent for 2 or 3 people for 25 euro from the 18th till the 20th of august. (Or 17th if you join one day earlier, it is allowed) The price is for one person, if you book alone, you get one tentbuddy!
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Dietary wishes
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do you need any help with carpool and information about public transportation for arrival in Ommen on the 18th of August?
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Do you have any questions for the organisation?
Closing comments
After having completed this questionnaire you'll receive an invoice. At the day of the record attempt itself it wil not be possible to pay with cash for anything except food. The reason being safety and convenience.

Thanks for completing the form!

Unite & Ignite!
Thomas Meijwaard
& entire team of Fierce360.nl
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