Formularz zgłoszeniowy - Międzynarodowy Ekstremalny Maraton Pieszy KIERAT

The application form

International Extreme Walking Marathon KIERAT

data marked * are required
data marked # for the organizers only

First name *
Last name *
Sex *

Woman
Man
Represented country *
Represented city (town) *
Date of birth *

- -
# Place of birth *
Registered address - for insurance
# ZIP / Postal code *

For example: 05-075
# City (town) *
# Street name House nr / Appartment nr *
# SPORTident card number

The number of his tCard, pCard, SI-Card6 or newer
# Mobile phone nr *

Mobile phone number used during the marathon
First start in "Kierat" *

Yes
No

Yes = first start in "Kierat"
No = another start in "Kierat"
Club / team
# E-mail address

By sending the form you agree that your personal data will be using and processing for purposes related to the organization of the Kierat marathon.