Marathon Lake Run 2019

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Personal information
First name*
Last Name*
Address*
City*
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Zip*
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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 (€80) Running Offer #2 (€95) Running Offer #3 (€110) Running Offer #4 (€115)
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 10K Kids Run
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 10K Kids Run
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 10K Kids Run
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 10K Kids Run
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 10K Kids Run
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
How did you hear about us?	Select Google Website Facebook Newsletter Friend Existing client Advertising Other
Payment Method *	Paypal VISA / MASTERCARD Bank deposit
Coupon Code
Credit Card Number*
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
Card (CVV) Code*
Card Type*	Visa MasterCard Discover American Express
Card Holder Name*
iDeal Bank*
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