Race registration form

         Race
         Name:

     Team
     Name:

 
(25 Chart.)

        Category:


(30 Chart.)

 

 

 

Team Member 1 (Captain)

 

 

 

 

        Name:

(25 Chart.)

   Passport    Number:

  (25 Chart.)
       Phone        Number:
(16 Chart.)

      Email:

  * Required
       Age: (2 Chart.)

      R/L
     Hand:

  (25 Chart.)
      T-Shirt
      Size: 		(15 Chart.)

     Birth
     Date:

   DD/MM/YYYY
      Sex:

 

 

 


Health concerns that the organization should know about:

 

 (100 Chart.)


Adventure racing & related experience (include first aid training):

 
(100 Chart.) 

 

Team Member 2

 

 

 

 
        Name:   (25 Chart.)

     Passport      Number:

  (25 Chart.)
        Phone         Number:   (16 Chart.)

     Email:

  * Required 
        Age: (2 Char.)

     R/L
     Hand:

  (25 Chart.)
       T-Shirt
       Size: 		(15 Chart.)

     Birth
     Date:

   DD/MM/YYYY
       Sex:

 

 

 


Health concerns that the organization should know about:

  
( 100 Chart.) 


Adventure racing & related experience (include first aid training):

  
( 100 Chart.) 

 

Team Member 3

         Name:   (25 Chart.)

    Passport     Number:

  (25 Chart.)
         Phone          Number:   (16 Chart.)

    Email:

  * Required
         Age:   (2 Chart.)

     R/L
     Hand:

  (25 Chart.)

        T-Shirt
        Size: 		  (15 Chart.)

     Birth
     Date:

   DD/MM/YYYY
        Sex:  

 

 

 


Health concerns that the organization should know about:

 
( 100 Chart.) 


Adventure racing & related experience (include first aid training):

 
( 100 Chart.) 

 

Team Member 4

      Name:   (25 Chart.)

    Passport     Number:

  (25 Chart.)
      Phone       Number:   (16 Chart.)

    Email:

  * Required
      Age:   (2 Chart.)

     R/L
     Hand:

  ( 25 Chart.)
     T-Shirt
     Size: 		  (15 Chart.)

     Birth
     Date:

   DD/MM/YYYY
     Sex:

 

 

 

 
Health concerns that the organization should know about: 


( 100 Chart.)


 Adventure racing & related experience (include first aid training):

 
( 100 Chart.)
 

 

 
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