Registration form tandem

Name of the team:    
1st rider      
Surname/Firstname: Street / no:
Country / PC / Town: Date of birth:
Phone number: Mobile phone:
E-Mail Souvenir:
2nd rider      
Surname/Firstname: Street / no:
Country / PC / Town: Date of birth:
Phone number: Mobile phone:
E-Mail Souvenir:
Support vehicle: yes:     no: Car number:
name of the driver: Mobile of the driver:
Distance:  
Categorie: Starting time for Randonneur:
Vehicle:  
Remarks: Juveniles:
Signature of a parent or a
guardian:

______________________

 

Remarks:
Juveniles between 16 and 18 years of age may ride at most 300 kms. Juveniles between 14 and 16 years of age may ride at most 100 kms accompanied by an adult participator. They have to send the registration form by post (print this form) and need the signature of a parent or a guardian.

Address:
Radmarathon.ch
Nesplenweg 3
CH-4537 Wiedlisbach
Switzerland