Formular de inscriere la SKV Bike Brunch Selistat
Data: 06.10.2018
Contact us at skvbrasov@gmail.com
Email address *
Nume Participant *
Your answer
Prenume Participant *
Your answer
Telefon participant *
Your answer
Sex *
Data Nasterii *
MM
/
DD
/
YYYY
Nume si prenume parinte(daca participantul este minor)
Your answer
Telefon parinte(daca participantul este minor)
Your answer
Nivel dificultate - Aceasta drumetie are un nivel de dificultate de 3.5/5. Va rugam sa va evaluati nivelul propriu de pregatire pentru drumetie. *
Declaratie de participare pe propria raspundere *
Required
Acord de prelucrare date cu caracter personal *
Required
Declaratie depturi Foto-Video *
Required
Observatii
Your answer
A copy of your responses will be emailed to the address you provided.
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