Belfortrail
10/24/2021
Giromagny
90 - Territoire de Belfort
France

 
Closing date: 10/21/2021 23:59
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Accepted payment methods :   Bank card

24
Oct
2021
  GiroTrail - 25Km
Trail running, Off-road running - Individual -
9:00
Individual registration

Are you affiliated ?  
Are you affiliated to :
FFA - Fédération Française d'Athlétisme

Identity  
Last name
Given name   
Date of birth
born in 2001 and before
Gender
    
Email
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List of participants
Medical certificate or proof of affiliation   following...
Affiliation  
Federation
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(leave blank in case of non-affiliation !)
Club / Group  
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Association
Postal address  
Number and street name
Entrance, Block,
Building, Residence
Additional address details
(block number, ...)
Post Code
Town, Cedex, State
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Telephone  
Home
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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)
J'atteste l’exactitude des renseignements ci-dessus et m’engage à respecter, sans réserve, le règlement et la charte éthique du BelforTrail.
J'ai lu et accepte la charte FFA du coureur (COVID-19)
J'ai bien noté qu'un Pass sanitaire valide sera demandé par l'organisateur pour pouvoir retirer mon dossard et participer à l'événement
Documents to be provided
Certificat médical ou Licence FFA
mandatory to participate
document less than 12 months old

This document can be submitted immediately or at a later date online.

Document date
PDF JPG GIF PNG GPX 10 Mo max.

Les NON licenciés : fournir un certificat médical de non contre-indication à la pratique de la course à pieds EN COMPETITION établi après le 24 octobre 2020. Les LICENCIES : Seules les licences FFA sont acceptées.

   
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Droits d'inscription 20.00 EUR
+ cost : 1.80 EUR

   
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