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BORDERS
SEPT 6-10 2023
REGISTRATION FORM 2023
REGISTRATIONS23
Fields marked with an * are required If you register in a PAIR or RELAY category, please fill up also the last section of the form (one for each rider) ☺️
CATEGORY
*
SOLO
PAIR
RELAY
GENDER
*
FEMALE
MALE
UNDEFINED
FIRST NAME rider 1
*
LAST NAME rider 1
*
EMAIL rider 1
*
name@domain.com
MOBILE PHONE rider 1
+41.79.123.45.67
ADDRESS (street) rider 1
*
ADDRESS (Zip code) rider 1
*
ADDRESS (Town) rider 1
*
ADDRESS (Country) rider 1
*
DATE OF BIRTH rider 1
*
DD/MM/YY
NATIONALITY rider 1
*
INSTAGRAM Rider 1
COMMENT
______________________________________________________________________________________________ ONLY FOR RIDER 2 of PAIR / RELAY CATEGORY ______________________________________________________________________________________________
GENDER
FEMALE
MALE
UNDEFINED
FIRST NAME rider 2
LAST NAME rider 2
EMAIL rider 2
MOBILE PHONE rider 2
+41.79.111.11.11
ADDRESS (street) rider 2
ADDRESS (Zip code) rider 2
ADDRESS (Town) rider 2
ADDRESS (Country) rider 2
DATE OF BIRTH rider 2
DD/MM/YY
NATIONALITY rider 2
INSTAGRAM Rider 2
COMMENT
Si vous êtes un humain, ne remplissez pas ce champ.
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