FORMULARZ ZAPISÓW NA BIEG GŁÓWNY 5.000 m
CZAS NA SPORT III memoriał im. Jana Cisowskiego - w Jezierzycach Kościelnych
Imię (name):
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Nazwisko (surname):
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Data urodzenia (date of birth)
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DD
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YYYY
Ulica nr (street nr):
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Miasto (city):
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Kod (zip code):
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Numer telefonu (phone number) :
format: XX XXX XXX XXX (np. 48 509 875 756)
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E-mail:
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Klub/stowarzyszenie (club/association):
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Oświadczenia i zgody (consent and declaration):
By submitting the present registration form I confirm having read and accepted the Rules of the competition. I consent that my personal data included in the registration form is processed for the needs of the events organized by the Organizator.
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Zabezpieczenie antyspamowe (Anti-Spam security):
Wpisz w wymagane pole "Jezierzyce" (Enter the word of the "Jezierzyce")
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