2017 Oschersleben registration form

Fields marked with an * are required

Personal data

Participant wants to book the following training:

Participant wants to book the following extras:

By submitting this form to pay the total amount of this event onto the German bank account 315101 at the Niederrheinische Sparkasse RheinLippe (Nispa)Verbandssparkasse in the name of SMD / Docshop Racing Zevenaar NL, stating "DARE Event Oschersleben 2017". (IBAN: DE 88 3565 0000 0000 3151 01 BIC: WELADED1WES), before February 28th, 2017. 

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 total amount due has been paid 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 amount paid.

.... 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) ....

Comments are closed.