Name
Surname
Age
Occupation
Home Adress
Town or Village
phone
e-mail
Phone home
Blood Group
Name of Club
Name of sposor
Interested in participating:
Long route: 22 km
Short route: 9 km
STEPS FOR VESTING PARTICIPATION
In view of my participation in the event mountain race with
name "In the footsteps of Deucalion.", which will take place on
01/12/2013 Delphi, affirm, with full knowledge of the consequences of the Law 1599/86, the following:
1. I am in excellent physical condition and have undergone all
necessary medical tests to safely participate in
above test. Specifically, I have recently undergone a stress test,
cardiology check e.t.c
2. I have sufficient knowledge and experience from racing mountain and requirements
posed a struggle in a mountainous area.
3. I take full responsibility in case of accident during
the event, exempt fully and completely the
organizers of the event, and any help on this
organization, officials, volunteers, security personnel and others since
fail with as much diligence you show to watch and with
prevent any possible accident throughout the
race.
4. I am aware of all the regulations of the commission race and why
accept without any reservations.
....../....../2013
The Declarer
........................................................
Surname
Age
Occupation
Home Adress
Town or Village
phone
Phone home
Blood Group
Name of Club
Name of sposor
Interested in participating:
Long route: 22 km
Short route: 9 km
STEPS FOR VESTING PARTICIPATION
- Deposit the registration fee of 20 euros for the trip of 22 km or 10 euros for the 9 km route, the National Bank of Greece account number 353/470042-24(ΙΒΑΝ GR330110 3530 0000 3534 7004 224) (Persseas S.A.)
- You have to send the application form and the affidavit, which you have to print, along with the deposit slip, which must necessarily appear your name, either via fax to 22650 83102, or to the email deucalionrace@gmail.com scanning the deposit receipt.
In view of my participation in the event mountain race with
name "In the footsteps of Deucalion.", which will take place on
01/12/2013 Delphi, affirm, with full knowledge of the consequences of the Law 1599/86, the following:
1. I am in excellent physical condition and have undergone all
necessary medical tests to safely participate in
above test. Specifically, I have recently undergone a stress test,
cardiology check e.t.c
2. I have sufficient knowledge and experience from racing mountain and requirements
posed a struggle in a mountainous area.
3. I take full responsibility in case of accident during
the event, exempt fully and completely the
organizers of the event, and any help on this
organization, officials, volunteers, security personnel and others since
fail with as much diligence you show to watch and with
prevent any possible accident throughout the
race.
4. I am aware of all the regulations of the commission race and why
accept without any reservations.
....../....../2013
The Declarer
........................................................
