Inscrieri

September 28-29, 2019 - Ampoita, jud. Alba, Romania / 28-29 Septembrie, 2019 - Ampoita, jud. Alba, Romania

20%

CHOOSE YOUR CLASS / ALEGE CLASA
Class / Clasa*
PRO
A – PRO CLASS – for those experienced, with a very good physical condition.
EXPERT
B - EXPERT CLASS – for those advanced, with a good physical condition (same track as PRO CLASS).
HOBBY
C – HOBBY CLASS - Not recommended for beginners.
GIRLS
Same track as HOBBY CLASS.
VETERANS
For those who still have the power! Same track as EXPERT CLASS.

PERSONAL INFORMATION / DATE PERSONALE
Name / Nume si prenume*
First name / Prenume Last name / Nume
Team / Echipa
Sponsor or Club name / Sponsor sau Denumire Club
Date of birth / Data nasterii*
Age / Varsta*
Phone number / Telefon*
With Country code. Ex.: for Romania +40 / Cu Codul tarii. Ex.: pentru Romania: +40
Address / Adresa*
Street and no. / Strada si nr. City / Oras State or Region / Judet
Country / Tara*
Email*
Enter your email address / Introdu adresa ta de e-mail Confirm your email address / Confirma adresa ta de email
Gender / Sex*

EMERGENCY CONTACT / PERSOANA DE CONTACT IN CAZ DE URGENTA
Please tell us who we have to contact in case of emergency. / Spune-ne pe cine sa contactam in caz de urgenta.
Name / Nume*
Phone 1 / Telefon 1*
Phone 2 / Telefon 2
Email

REGULATIONS / REGULAMENT
In order to continue you must read the official Competition Regulations and agree with them. / Pentru a continua, te rugam sa citesti si sa accepti Regulamentul competitiei.
Email
This field is for validation purposes and should be left unchanged.

Taxa participare Hard Enduro Alba Iulia 2019:

Pentru a confirma inscrierea, va rugam sa achitati taxa de participare in contul clubului:

Cont IBAN:

Titular Cont: CLUB SPORTIV EXTREM MOTORS
CIF: 30990635
Adresa: Judet Hunedoara, Sat Beriu, Comuna Beriu, Nr 61

CHOOSE YOUR CLASS / ALEGE CLASA