Registration Form

The registration period to L' ENRUCADA TIANA ET MOU 2024 will end on Monday, September 9, 2024 00:00h.

Check:

Email address:

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Caminada 13.00€

Cursa 13.00€

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 you may have an untimely illness, a training injury or any other major unforeseen event that may disrupt your participation in the event.

We offer you the possibility of contracting a cancellation insurance that allows you to recover the amount of the inscription.

The price of the cancellation insurance calculated for your registration is . Please, note that if you do not take it now, you will not be able to do it later.

You can consult the conditions of the insurance here

I have read and accepted the RACE REGULATION

I accept the registration conditions

Administration fee:

Current Registration Price:

Payment summary:

Credit or Debit Card
(Administration fee included)

First Name:
Email address: