Registration EHC Race Rosenau 2017
Date of race : 15 avril 2017 68128 Rosenau France
EHC race 44 km - 65€
EHC race 44 km U23 - Free
Kids and rookies race 6 km - Free

Please complete all of the required and relevant details on the form below.

Athlete personal details
NOM - NAME : *
Your answer
Prénom - First Name : *
Your answer
Date of birth : *
dd / mm / yyyy
Your answer
Sex : *
Nation : *
Your answer
Athlete contact details
Email : *
Your answer
Phone number :
Your answer
Athlete adress
Street adress : *
Your answer
City / Town / Village : *
Your answer
Postcode : *
Your answer
Athlete Race details
Team/Club : *
Your answer
Class : *
T - Shirt Size *
Dinner : *
Please pay 11 € more per person for dinner.
Agreement Terms and Conditions
Entry deadline: 01. April 2017. Registration after the deadline won't be accepted.
With my participation to an event of the European Handbike Circuit I acknowledge the liability exclusion of the EHF Committee or of involved third party for personal or material damage. I hereby certify that I have full knowledge of the risks involved in this event and that I am physically fit and I have sufficiently trained to participate. I am in possession of a license (national or Internationale) for my sport and I have a medical certificate that authorizes me to do competition sports in handbike.Furthermore I do acknowledge that I have thoroughly read and understand the 2017 Rulebook of the UCI and EHC.
Accept Agreement: *
Please tick this box to confirm that you have read and agree to terms and conditions of this Agreement as stated above, and the details you have given above are correct.
Required
ENTRY FEE : 65 € (Included Start and Chip caution)
ou will get 5 € back after the race, when you bring back the chip
NOTICE: Your registration will only be accepted when full payment has been received
Bank Details / IBAN

ASS SPORT FAUTEUIL
CCM DU BRAND
F-68230 TURCKHEIM

IBAN: FR7610278032610004269574542
BIC: CMCIFR2A

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