Race for Equity : l'Occitane en Provence

PERSONAL INFORMATION

Last name

First name

Gender

MaleFemale

Date of birth

Nationality

Taille du T-shirt

SMLXL

CONTACT INFORMATION

E-mail

FACEBOOK email address

Telephone number

Address line 1

Address line 2

Postal code

City

Country

MEDICAL CERTIFICATE / LICENCE

In accordance with Articles L231-2 and L 231-3 of the French Sports Code and Article II A of the Fédération Française d'Athlétisme (FFA) rules outside the stadium, you are required to provide:
• a medical certificate of non- indication to the practice of running in competition dating less than one year from the date of the competition,

OR
• an Athlé Compétition, Athlé Entreprise, Athlé Running or Pass'Running licence, issued by the FFA, valid on the date of the event (attention, change of season on 1 September),
• a competition licence issued by the FFCO, or the FF Tri, valid at the date of the event,
• a sports licence, valid on the date of the event, issued by an approved Federation only, on which must appear, by all means, the non- indication to the practice of athletics in competition or running in competition.

Permission slip

5Mb max

You are a liencié(e)s

Federationanother federationNot licensed

AFFILIATION WITH A CLUB OR SPORTS ASSOCIATION.

In all cases, you must complete the following box:

* If you are a member: the name of the club or association,

* If non-affiliated, specify: NEANT.

Club or Association

EMERGENCY CONTACT PERSON

Name of the contact person

First name of the contact person

Emergency Telephone No.

Email of the contact person

Participate in the Challenge des Trails de Provence

YESNOTNot applicable

COMMUNICATION TO THIRD PARTIES

The information collected is necessary for your registration. They are the subject of computer processing and are intended for the secretariat of the association. Pursuant to Article 34 of the Law of 6 January 1978, you have the right to access and correct information about yourself. If you wish to exercise this right and obtain information about yourself, please contact the secretariat of the association.

Your contact details may be shared with partners offering only the same type of event. If you do not wish to, please check the box below.

Communication to third parties

NOT

Race for Equity l'Occitane en Provence

Souhaite faire la visite de l'Occitane en Provence

CLICK HERE TO DOWNLOAD THE EVENT RULES

Read and approved

I certify that I have read and approved the race rules

CLICK HERE TO DOWNLOAD THE ECO-TRAIL CHARTER

Read and approved

I certify that I have read and approved the Eco-Trail Charter

VAR VERDON TRAIL CANYON 2024