Aegina Mountain 15K Race

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Personal information
First name*
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Phone*
Email*
Booking information
Travel offer* Select your travel offer. For more info please see the appropriate section. Running offer is for 3days/2nights.	Select Simple running Offer (€40) Running Offer #1 (€60) Running Offer #2 (€90)
Runners* Select the total number of runners and fill below their information. If runners are more than five (5), please select the group application form.	Select 1 2 3 4 5
Persons* Select the number of the travelling persons.	Select 1 2 3 4 5 6 7 8 9 10
Children Select the number of children (Below 6 y.o.)	Select 0 1 2 3 4 5 6 7 8 9 10
Additional nights Please leave these fields empty.	Select 0 1 2 3 4 5 6 7 8 9 10
Rooms Select how many rooms you want to book.	Select 0 1 2 3 4 5 6 7 8 9 10
Arrival date
Departure date
My running information
Race*	Select 15km 5km 5km dynamic walking 1km kids
Birth date*
Father's name*
Gender*	Select Male Female
Personal best
Target
Club
T-Shirt size	Select XS S M L XL XXL XXXL
2nd runner information
Race	Select 15km 5km 5km dynamic walking 1km kids
First name #2
Last name #2
Address #2
Phone #2
Email #2
Father's name #2
Birth date #2
Gender #2	Select Male Female
Personal best #2
Target #2
Club #2
T-Shirt size #2	Select XS S M L XL XXL XXXL
3rd runner information
Race	Select 15km 5km 5km dynamic walking 1km kids
First name #3
Last name #3
Address #3
Phone #3
Email #3
Father's name #3
Birth date #3
Gender #3	Select Male Female
Personal best #3
Target #3
Club #3
T-Shirt size #3	Select XS S M L XL XXL XXXL
4th runner information
Race	Select 15km 5km 5km dynamic walking 1km kids
First name #4
Last name #4
Address #4
Phone #4
Email #4
Father's name #4
Birth date #4
Gender #4	Select Male Female
Personal best #4
Target #4
Club #4
T-Shirt size #4	Select XS S M L XL XXL XXXL
5th runner information
Race	Select 15km 5km 5km dynamic walking 1km kids
First name #5
Last name #5
Address #5
Phone #5
Email #5
Father's name #5
Birth date #5
Gender #5	Select Male Female
Personal best #5
Target #5
Club #5
T-Shirt size #5	Select XS S M L XL XXL XXXL
Travelling information
Race*	Select Halfmarathon 5K
Passport No.
Expiring date
Nationality
Place of birth
Visa	Yes No
Travelling information (2nd runner)
Passport No. #2
Expiring date #2
Nationality #2
Place of birth #2
Travelling information (3rd runner)
Passport No. #3
Expiring date #3
Nationality #3
Place of birth #3
Travelling information (4th runner)
Passport No. #4
Expiring date #4
Nationality #4
Place of birth #4
Travelling information (5th runner)
Passport No. #5
Expiring date #5
Nationality #5
Place of birth #5
Medical clause* I participate to the race on my own responsibility, having made any medical check. I will not ask for anything from the organisation in case of injury during or shortly after the race. I also agree on the free use of my name/photo by the media.
Booking conditions* I have read and agree to the terms outlined under Booking Conditions.
Travel insurance: Travel insurance is not included in the price of the package.
Payment information
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Payment Method *	Paypal VISA / MASTERCARD Bank deposit
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Expiration Date*	01 02 03 04 05 06 07 08 09 10 11 12 / 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
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