Chişinău 24/12/6H Race, 01-02.06.2019
!!! ЗАПОЛНИТЬ ЛАТИНСКИМИ БУКВАМИ !!!
Email address *
Sex/Пол *
Categoria/Age category/Возрастная категория *
Data naşterii/Date of birth/Дата рождения *
MM
/
DD
/
YYYY
Nume/Surname/Фамилия *
Your answer
Prenume/Name/Имя *
Your answer
Număr de concurs/Bib number/Номер
Your answer
Mărime tricou/T-shirt size/Размер футболки *
Ţara/Country/Страна *
Your answer
Oraş/City/Город *
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Adresa/Adress/Адрес *
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Telefon de contact/Phone number/Телефон *
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Club/Клуб *
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Proba/Event/Вид *
Rezultat personal/Personal Best/Личный результат *
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Taxa de participare/Entry fee/Стартовый взнос *
24 ore – 300 lei până la 20 mai 2019; 400 lei până la 25 mai 2019. 12 şi 6 ore – 200 lei până la 20 mai 2019; 300 lei până la 25 mai 2019. / 24 hours – 15 euros until May 20, 2019; 20 euro until May 25. 12 and 6 hours – 10 euros until May 20, 2019; 15 euro until May 25. / 24 часа – 15 евро до 20 мая 2019, 20 евро до 2 мая. 12 и 6 часов – 10 евро до 20 мая 2019, 15 евро до 25 мая.
Eu, subsemnatul, declar că am pregătirea necesară pentru a participa la aceste competiţii şi sunt personal responsabil pentru starea sănătăţii şi rezultatul participării mele, inclusiv decesul. / I, the undersigned, declare that I am in good physical condition to take part in this competition and am myself responsible for my health and the outcome of my participation therein, including decease. / Я, нижеподписавшийся, заявляю, что достаточно подготовлен для участия в данном пробеге и сам несу отвественность за свое здоровье и любые последствия моего участия, включая смерть. *
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