Online Registration

                                Triathlon des Sharks

                                                                                        *Champs Obligatoires

Name*

First name*

Adress

  N° bp PO Box 
City
e-mail
Year of birth* ex: 1970

Sexe*
Club Licence number

   Promo (500 - 20 - 5)  / Courte distance (1500 - 40 - 10)

 

Promo : 15€ (20€ after the 15/06/10)

Courte Distance : member : 20€ (25€ after the 15/06/10)
Non-member : 30€ (35€ after the 15/06/10)
 

on the account number
Centéa n° : 850-8176471-48
IBAN : BE11 8508 1764 7148
BIC : SPAABE22
communication : "Name firstname Promo or CD"

!! Registration valid after reception of paiement !!

Documents to show on the day of the triathlon:  

  • Licence

  • Proof of paiement

  • Wrintten parental consent (-18ans)

  • médical certificate of aptitude for non-member