MERIDA BIKE ADVENTURE 2009 Application Form

We are very sorry, but registration has been already closed, because of full capacity !!!

Application form is here only to inform you, but it is not working any more.

Before you start your registration, read invitation instructions carefully! Invitation and all the other instructions in this application form. You can register only one team in this form, if you need to register more teams, you have to start again from the beginning.

Dates for whole team (couple)

Name of the team :

Contact phone nr., which also works as variable symbol for payment:

(without spaces and just 9 numbers)

Sport Ident: ^*

borrow SI

Category: ^**

Phone nr. for information SMS:

(no spaces, only 9 numbers)

Note :

^* SI - Sport Ident - electronic punching system for getting split times during the race. There will be only 1 SI for the team (couple). If you have your own, write its number, please. If not, it is possible to borrow it from organizers. If you lose it, you have to pay it. 700 CZK.

^** Category window fill in codes: M - men, D - women, + - veterans (total age of both competitors must be 80 or over 80 years).

Those signed are bindingly applied for Bike Adventure 2008.

Competitor 1

Surname and First name :

Adress:

Date of birth :

Accommodation :

no
1 night
2 nights

Competitor 2

Surname and First name :

Address :

Date of birth :

Accomodation:

no
1 night
2 nights

ACCOMMODATION AND FOOD

is in the centre of race in your own tents. (150 CZK person/night). There will be buffet with typical selections and some restaurants in surrounded villages.

PAYMENTS

Total amount for everything must be paid to bank account 2201368476 / 6210 (mBank), variable symbol is your phone number. Constant symbol is 558. Foreigner competitors can pay during registration, but give it to the note. We also need certificate of payment at registration.

TEAM SPIRIT

In case, there are at least 3 couples with the same name (be careful - name must be written exactly the same letters!

Contact phone nr.

+ 420 720 546 994

Later changes in applications

email to prihlaska@bike-adventure.cz.
For any changes you pay small fee. fee 50 CZK.

I agree, I race in public places and unlimited traffic and for my own risk. I will keep all rules of behaving on the public roads and in the nature. And I agree, I am healthy enough to race Bike Adventure and organizers are not responsible for losses and damages, which can happen during the race. I agree, organizers can use my data for need of this race and these will be protected according § 11, law nr. 101/2000 Sb.Sending of application form and paying starting fee is taken as your agreement and signature.

Date: 18. 05. 2012

After clicking the button "Next »" you are asked to check your dates. Sending of form comes after this checking.