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三日環島挑戰賽 2022/07/11-07/13
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請問您的性別
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男性
女性
請問您的實際年齡
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挑戰賽將以實境記錄方式進行拍攝，請問是否同意進行拍攝
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是
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請問自有公路車品牌、等級
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請詳細敘述過往參賽經歷、最高單日騎乘里程數
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是否有慢性疾病
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本挑戰賽會為參賽選手投保高額意外險，另亦需簽署免責聲明，請問是否同意
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請提供報名者真實姓名、聯絡手機
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請提供個人IG或FB 帳號，並請註明是IG或FB
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