Registration Form

The registration period to ABIERTO POR NAVIDAD LUCIEN BRIET will end on Thursday, January 2, 2025 10:00h.

Organisation Indications

POR FAVOR, RELLENE TODOS LOS CAMPOS CON MAYÚSCULAS.

Si desea inscribir a dos niños/as, deberá realizar una inscripción por cada uno de ellos. En caso contrario el programa sólo contabilizará el primer nombre registrado.

Registration fee

INSCRIPCIÓN

Una vez que haya realizado una inscripción, cualquier modificación o baja sobre la misma debe comunicarla a cegrz-coordinadoraritmica@hotmail.com

Team name

Team name:

= required

Registration data

First Name:

Last Name:

Citizenship:

Identity document:

Birth place:

Gender:

Date of Birth:

Category:

Country of Residence:

Location:

Postal Code:

Province of Residence:

City of residence:

Address of Residence:

Email:

Repeat Email:

Fixed phone:

Mobile phone:

Federated:

License Number:

Runner PLUS Card:

Medical Certificate:

Medical Certificate Validation Time:

Club:

Comments:

Cancellation Insurance:

You never know when an unfortunate illness, an injury during training, or any other major unforeseen event might prevent you from participating in the event.

We offer you the option to purchase cancellation insurance that allows you to recover the registration fee if necessary.

The price of the cancellation insurance calculated for your registration is . Attention: this insurance covers contingencies related to injuries, serious illnesses and personal circumstances such as job changes, medical tests or death of family members, among many others. But not all causes are covered..

Please, check the conditions before contracting it. You can see them ere

I have read and accept the sport event regulation

I accept the registration conditions

Administration fee:

Current Registration Price:

Payment summary:

Credit or Debit Card
(Administration fee included)

First Name:
Email address: