2017 Cartagena registration form

Fields marked with an * are required

Personal data

Participant wants to book the following training:

Participant wants to book the following extras:

Participant will be accompanied by:

And the following extra's for his companion:

By submitting this form to pay the entry fee of EUR 350,00 onto the German bank account 315101 at the Niederrheinische Sparkasse RheinLippe (Nispa) in the name of SMD / Docshop Racing Zevenaar NL, stating "DARE EVENT Cartagena" before the 20th of August. (IBAN: DE 88 3565 0000 0000 3151 01 BIC: WELADED1WES).
When receiving a confirmation of participation and an invoice for the remaining amount, I will pay the remaining amount within the period indicated on the invoice.

My participation in this training is at my own risk; I waive any liability position of the organizer (Docshop Sports, Docshop Racing, DARE). I guarantee that my motorcycle, which I will use in this training is in an absolutely safe condition and complies with all legal requirements. I have insurance for medical expenses domestic and abroad and I accept all the conditions of participation and liability irrevocably by submitting this form. My registration is not valid until the entry fee has been payed and a confirmation of my participation by the organisation has been received; if I am unable to take part, for whatever reason, I have no right to a refund of the entry fee.

.... If you do not see a confirmation screen after you submit this form, please look above if you forgot to fill one of the fields (a red text will show beneath the required field) ....

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