Records Manager

NLHF World Records Application Form

Name

Occupation

Mobile

Gender

Date of Birth

Permanent Address

Detailed description of your attempt (3000 characters limit)

(1) I authorize, Noel Lorenz House of Fiction & NLHF World Records to use the material sent in their publications, productions, licensed merchandise, websites or any other media as television, radio etc., in any manner and for any purpose. I have no claim on them. Under any condition, Noel Lorenz House of Fiction & NLHF World Records will be under no obligation to return any of these materials. (2) I accept that I do not want Noel Lorenz House of Fiction & NLHF World Records to identify me as the author or creator of any of the materials that I am sending in connection with my record attempts. (3) I accept ‘Noel Lorenz House of Fiction' & 'NLHF World Records’ will not accept any responsibility whatsoever for the safety of participants. It is the sole complete responsibility of the claimant, to get insured and to ensure that all the necessary safety measures and guards are taken into consideration. All the equipments and gadgets used are to be thoroughly checked, prior to the record attempt. It has to further ensure that all required relevant compliance with any Government, State or non-Government authority along with local environment, health and safety measures applicable at the time of the performance are in place. (4) I acknowledge that the information given here are true to the best of my knowledge. I accept all the terms & conditions and take full and complete responsibility of my actions.

Thank you! We’ll be in touch.

You will receive an email from 'noellorenzbooks@gmail.com'