31st "Spartakiada" - 2019
Registration form for the 2019, 3st Edition of the Athens-Sparta race
Saturday 5/10/2019 - START: Olympic Stadium (Panathenaic Stadium) - Start time: 07:30
This form is to be used and submitted until Monday, 30/9/2019
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Email address
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Your email
Country of origin:
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(The country of your citizenship)
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Surname:
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Your answer
Name:
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Your answer
Date of birth:
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Blood Type
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Your answer
Address:
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City:
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Your answer
Zip code:
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Country:
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Telephone:
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(Cellular or fixed line telephone number with country and city prefixes, e.g. +xx xxx xxx xxxx xxx)
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Other phone/fax number (if applicable):
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Emergency Contact Name:
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Emergency Contact Phone:
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(Person to be contacted from the organisers in case of emergency)
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Club/Team Name (if applicable):
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Race Participation
(Please write down, at least one endurance race - and the corresponding distance - you ended successfully into this year)
Your answer
By submitting this form, I agree to abide by the Greek Cycling Federation and the Veteran Athletes Bicycle Union regulations and rules for road cycling events, and understand and agree that I participate in this event entirely at my own risk, that I must rely on my own ability in dealing with all hazards, and that I must ride in a manner which is safe to myself and others. I am aware that when riding on a public highway the function of marshals is only to indicate direction and that I must decide whether the movement is safe. I agree that no liability whatsoever shall attach to the promoter, promoting club / organization, event sponsor, Greek Cycling Federation or any event official or member of Greek Cycling Federation or member of the promoting club / organization in respect of any injury, loss or damage suffered by me in or by reason of the event however caused. I will participate in cycling events in a loyal and sporting manner. I will submit to disciplinary measures taken against me and will take any appeals and litigation to the authorities provided for in the Regulations. Subject to that reservation, I shall submit to any dispute that may arise exclusively to the courts in Athens, Greece. I have read and agree to abide by the above declarations
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ATTENTION: The above Registration form for the 31st Spartakiada 2019 race, is valid only if it is accompanied by proof of [A]: bank deposit of 70 euros via wire transfer to the Cycling Union's bank account the latest by 30/9/2019. Our bank details are as follows: NATIONAL BANK of GREECE -Account number: 075/001312-92 IBAN: GR6501100750000007500131292 - SWIFT (BIC): ETHNGRAA and [B] a valid -max 3months old- MEDICAL certificate from a HEART specialist (cardiologist), certifying that the examination of the athlete reveals no contradictions for participating in this cycling event of 250klms, stamped and signed by a registered medical CARDIOLOGIST doctor (only). [note C]: IF you plan to use our BUS RETURN to Athens service on SUNDAY afternoon you should include 15euros in your participation fee.
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