Chişinău 12/24H Race, 03-04.06.2017
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Sex/Пол *
Categoria/Age category/Возрастная категория *
Nume/Surname/Фамилия *
Your answer
Prenume/Name/Имя *
Your answer
Număr de concurs/Bib number/Номер
Your answer
Data naşterii/Date of birth/Дата рождения *
MM
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DD
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YYYY
Adresa/Adress/Адрес *
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Club/Клуб *
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Telefon de contact/Phone number/Телефон *
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e-mail *
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Proba/Event/Вид *
Rezultat personal/Personal Best/Личный результат *
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Taxa de participare/Entry fee/Стартовый взнос *
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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