2017 Registration-form

Download Registration-form

THE ABBOTS WAY – REGISTRATION FORM:

ORGANIZATION: ASD LUPI D’APPENNINO

ROUTE: running trail to step free and with limited time from Bobbio to Pontremoli, on the ancient road of the abbots.

The route is about 125 km with 5500 m D+ and can be done in two different ways:

TAPPA UNICA/RACE 125 (1 ATHLETE): in only solution from start to finish
EXPRESS TEAM (2 OR 4 ATHLETES): relay, a fraction of 30km each with changes in checkpoint allowed to Farini-Bardi-Borgo Val di Taro. At the team of 2 is required to run for 60 km for each and not necessarily consecutive(30+30+30+30)

START: On 30th April 2017 at 06:00am in Bobbio. The time limit to finish the race is 32 hours.

PARTICIPATION: are alllowed to partecipate in the race men and women who have turned 18 years old, and in possession of the medical certificate agonistic.
You can check the rules: https://theabbotsway.wordpress.com

RESULTS: will be post on the website.

AWARDS: Tappa unica: the first 5 men and the first 5 women.
Express Team: the first 3 teams of women and men.
Goody bag to all participants.

REFRESHMENTS: the race is considered in food autonomy, 3 life points are provided with medical care, you can find food and hot drinks at Farini, Bardi, Borgo Val di Taro, and refreshments every 5/10 km.

MATERIAL REQUIRED: carefully consult the website.

REGISTRATION FEES:

From 01/12/2016 to 08/12/2016 ORANGE DAYS: Tappa Unica: 99 euro – Express Team completo: 119 euro

From 09/12/2016 to 15/01/2017 : Tappa Unica: 110 euro – Express Team completo: 130 euro

From 16/01/2017 to 20/04/2017: Tappa Unica: 130 euro – Express Team completo: 160 euro

 

Entries will not be accepted over the 20/04/2017. Please fill in all of the fields in the Registration form and send it via Fax 05231810149 or via e-mail: info.lupidappennino@libero.it with the copy of the bank transfer receipt and the medical certificate.

Payment method: via bank transfer

IBAN: IT 02 O 05156 65240 CC 0040009937
ACCOUNT NAME: Lupi d’Appennino ASD

DELIVERY PECTORAL: Bobbio(PC) at PALAZZO TAMBURELLI in Contrada dell’Ospedale 12 from 4 pm to 8 pm on 22/04/2016. Briefing from 5 pm to 18 pm at Sala Riunioni on Municipio di Bobbio.
Name: ____________________________________________________________________
Surname: ____________________________________________________________________
Birth date: ____________________________________________________________________
Gender: ____________________________________________________________________
Address: ____________________________________________________________________
Postal Code: ____________________________________________________________________
City: ____________________________________________________________________
Country: ____________________________________________________________________
Telephone: ____________________________________________________________________
Team: ____________________________________________________________________
Federation name: ____________________________________________________________________
E-mail: ____________________________________________________________________

Tappa unica(race 125) – express team (please, indicate the name of the team)

REGISTRATION FEES: From 23/10/2015 to 15/01/2016: Tappa unica: 85 euro. Express team: 120 euro (30 for each). From 16/01/2016 to 15/04/2016: Tappa unica 100 euro, Express team: 160 euro (40 for each).

Please fill in all of the fields in the Registration form and send it via Fax: 0523-1810149 or via e-mail: info.lupidappennino@libero.it with the copy of the bank transfer receipt and the medical certificate.

Payment method:

via bank transfer:
IBAN: IT 02 O 05156 65240 CC 0040009937
ACCOUNT NAME: Lupi d’Appennino ASD
REASON FOR THE TRANSFER: “Iscrizione The Abbots Way 2015 + name and surname”

DATE ____________________________ SIGNATURE _________________________________________
With the signature on this form accepts the rules of the competition, raises the organization from any civil and criminal liability for damage and things and people he caused under conduct of the race and confirms to be in possession of a valid medical certificate for the competitive sports.

Disclosure protection of personal data (Legislative Decree 196 /03)
Dear customer, in accordance with Article 13 of the Code regarding the protection of personal data (Legislative Decree 196/03), please find below the information regarding the treatment of your personal data that will be done by this Company to allow you the registration to sporting events and purchases of any additional service.

Annunci

Crea un sito o un blog gratuitamente presso WordPress.com.

%d blogger hanno fatto clic su Mi Piace per questo: