Registration Form - Natural Wake Cup
Natural Wake Park
2*INT cablewake - September 27/28
perret *
valentin *
Route de Villemouze *
Birth Date *
Rider under the age of 18 must have a legal guardian authorisation form filled (see Bulletin 1). Please use DD/MM/YYYY format
Club - League - Country *
Licence number *
(possibility to take the French licence on site)
Date of medical certificate *
Email *
Phone N° *
Registration fees include :
- Riding during the free session, and the official training,
- Competition runs
- Meals: Breakfast, lunch and dinner on Saturday, Breakfast and lunch on Sunday
- Free accomodation in Group Housing center or access to camping site

On-line registration, before April 25th 2014 (15€ more for registration on site)
WB or WS: 65 € WB and WS: 70€
Male / Female ? *
Riding Category *
Number of accompanying persons ?
Price 40€ (or 50€ if registred after April 25th). Accompanying persons are not allowed to ride during the official trainings
Housing center (free for registered riders ) - Camping site (free for registered riders). It is also possible to rent cottages (contact Sémitour-Périgord (tel +335 53 05 65 65,
Arrival planned on
Around what time ?
Questions / Remarks ?
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