Registration form Braga Sprint Cup

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Email *

At the Braga Sprint Cup 80 people can participate, currently 80 people have registered, so you come when you register on the reserve list. According to experience we see that often people cancel at the last minute, then the people on the reserve list can participate.

Let me know if someone cancels and a place becomes available

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Name *

Last name *

Gender *

Female

Male

Other:

Place of residence *

date of birth dd-mm-yyyy *

YYYY

Phone number *

Association *

TSSV Braga

DSSV Els

WSSV IJzersterk

ESSV ISIS

NSSSV Lacustris

DSV Skeuvel

ASSWSV SKITS

USSV Softijs

GSSV TJAS

ESSV Alcedo

Other:

Required

Personal record 500m *

In order to divide the categories as well as possible, we would like to know your best time/realistic time on the 500 meter. If you have never or not for a long time ridden this distance, please fill in a realistic estimate.

Personal record 1000m *

In order to divide the categories as well as possible, we would like to know your best time/realistic time on the 1000 meter. If you have never or not for a long time ridden this distance, please fill in a realistic estimate.

KNSB account number (Relatienummer KNSB) *

These are 8 digits and are mandatory in order to participate in the Braga Sprint Cup.

Send me a copy of my responses.

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