La Buckland sur Gravelle
05/09/2020
Notre-dame-auxiliatrice de Buckland
Québec
Canada

 
Closing date: 9/5/2020 9:59
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Accepted payment methods :   Bank card

5
Sep
2020
  La Buckland sur gravelle et le Petit Buck
Gravelle - Individual -
10:00
Individual registration

Are you affiliated ?  
Are you affiliated to :
FQSC - Fédération Québécoise des Sports Cyclistes

Identity  
Last name
Given name   
Date of birth
born in 2004 and before
Gender
Email
Nationality
Liste des participants
Affiliation  
Federation
Reference number of affiliation

(leave blank in case of non-affiliation !)
Club / Group  
Club name
Club number
Postal address  
Number and street name
Entrance, Block,
Building, Residence
Additional address details
(block number, ...)
Post Code
Town, Cedex, State
Region, Province
Country
Telephone  
Home
Mobile
Other contact (in case of emergency)
Last name
person to contact in case of emergency
Given name
Telephone number
(land line)
Telephone number
(mobile)
Email
Questions further (participant)
Which challenge will you be taking on? It will be possible to change your mind during the event at the crossroad....
   
Price
  ...select your price...  
If you have a special offer,
enter the code
APPLY THE CODE
Please ensure that the price selected corresponds to your category (otherwise you will have to pay the difference on the day of the vent)
Droits d'inscription pour membre de la FQSC 85.00 CAD
+ cost : 6.25 CAD

reserved for affiliated participants

Affiliations accepted :
Affiliation unlisted = unaffiliated participant
FQSC
Droits d'inscription non-membre de la FQSC 85.00 CAD
+ daily affiliation : 5.00 CAD
+ cost : 6.52 CAD

   
Conditions of participation
Official rules

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