Seniorgames | Cycle racing

Signup for cycle racing

Entry fee:
Registration SG2009 € 30,- and addition cycle racing.
Further no facilities.
Extra accompanying person(s) not athlete(s): € 30,- p.p.

Fields marked with are required.

E-mail

Title

Initials

Surname prefix

Surname

Date of birth This field is a required field

(JJJJ-MM-DD)

Street

Number

Postcode

Town/City

Country

Nationality This field is a required field

Telephone

Telephone 2

License number UCI

Name National Federation

No license

T-shirt size This field is a required field

Extra accompanying person(s): for example: monitor, coach, partner, instructor

1. Mr./mrs.
Function

2. Mr./mrs.
Function

3. Mr./mrs.
Function

4. Mr./mrs.
Function

I accept the terms of conditions of play, qualifications and regulations concerning the Senior Games 2009 cycle racing championships.