Inscriptions 6 jours et 48h

Dossier d’inscription complet (bulletin d’inscrition, certificat médical et les justificatifs des performances)
A renvoyer au plus tard le 31 mars 2021 à :
Par courrier : Ultra Running Organisation – 1408D Route de Lyas - Quartier Chilarenche – 07000 LYAS – France

Par mail : ultrarunning.organisation@gmail.com

Bulletin d'inscriptions /Registration Form (PDF) (optional)

6
Days

Règlement /Rules (PDF) (optional)

6
Days

Nom / Name

Prénom / Family Name

Addresse / Adress

Code Postal / Zip Code

Ville / City

Pays / Country

Date de naissance / Birthday

Nationalité / Nationality

Licence FFA N° (optional)

Club (optional)

Téléphone / Phone

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Ultras réalisés / Ultra races have you taken part in : (optional)

Meilleur temps sur Marathon / Best marathon time : (optional)

Meilleur temps sur 100km / Best time for 100 km : (optional)

Meilleur distance sur / Best distance for (optional)

24h00

(optional)

48h00

(optional)

72h00

(optional)

6 Jours / 6 Days

Signature

J’ai bien lu et accepte le règlement de la course dans sa totalité. / I have read and accept the rules and regulations of this race

Toute inscription sera considérée comme complète si elle comporte l’ensemble des pièces suivantes :
- Le bulletin d’engagement officiel dûment complété et signé
- Le certificat médical ou copie de votre licence sportive en cours de validité
- Le paiement des droits d’engagement à régler par chèque à l’ordre de « Ultra Running Organisation » ou par virement bancaire (voir coordonnées bancaires sur le règlement de l’épreuve)

Any registration will be considered as complete, if it does contain all the following elements :
- Official subscription forms completed
- Written proof of medical clearance by a certified doctor and/or a photocopy of your valid personal sporting licence
- Registration fee to « Ultra Running Organisation » by cheque or wire transfert (See account ID on the regulation of the event)

Saisir votre nom / Write your name.

Valider votre demande / Validate your submission

Inscription / Registration 2021