RELAIS Format M -Aquathlon Aix les Bains 2017- équipe de 2

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Secured payment with CMCIC paiement

Event organised by AIX SAVOIE TRIATHLON,
on July 14, 2017

Online registration active until July 10, 2017 at midnight

Registration form

Please type here your personnal information, and choose the registration options corresponding to your case. Once all the form fields are filled, click the button Validate your registration, which will activate the secured online paiement. You can validate many individual registrations at once.

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The organizer of this event asks for a mandatory copy of a medical certificate or valid licence for each individual. Please provide these documents in order to proceed to the validation.

The registrations online are now closed for this event.

Team name

Team-mate 1

Team-mate 2

Last name *
First name *
Birth date (D/M/Y) *
Gender *
eMail *
Club
Si NAGEUR Licencié FFN ou FFTRI : N° licence
Si COUREUR Licencié FFA ou FFTRI: N° licence
Nom de l'équipe *
Je m?engage à ne pas sauter du bateau si les moteurs sont en marche et attendre l?accord de l?organisateur pour sauter à l?eau. Je m?engage à ne pas nommer responsable la « Compagnie des Bateaux du Lac » en cas d?hydrocution ou choc contre le bateau au moment de sauter dans l?eau. Je confirme savoir nager en eau libre et être capable de parcourir la distance de 3000m. *

Address *

Zip code *
City *
Country *
Phone
Nationality *

Registration options

:: No valid option found for the period! ::

Total fee for this registration : €

I request that my name doesn't appear on participant lists online

Total fee for all registrations : €

Important note : your subscription to this event means that you fully accept the rules defined by the organizer.