MEZZALAMA SKYRACE 2008
Saint-Jacques, 29 June 2008
Registration Form
Name and Surname:
Place of Birth:
Date of Birth:
/
/
Address:
City:
ZIP code:
Nazionalità:
Phone:
Portable phone:
Fax:
E-mail:
N. FSA
Lunch booking
at Saint-Jacques for 1 runner +
people
Yes
No
I ask to be registered to the run, while declaring I am well and fit enough to play sport professionally and I know enough skyruning and signals. I do accept that any information given is used in compliance with regulation 675 dating back to 31-12-96 and that the organisers are using photographs and films of the competition to be transferred to third parties, without being liable anyhow.
Conferm
____________________
Mezzalama Trophy Foundation
- Route Ramey 69 -11020 Champoluc (AO)
Tel. +39-348-5252973 -
Email:
mezzalama@trofeomezzalama.org
Web design & Grafica -
Filmaker Produzioni Aosta
