Registrations

Registration

“La Leonessa” – 5th Edition

Name and last name (mandatory)

Date of birth (mandatory)

Address (mandatory)

Your city or village (mandatory)

State (mandatory)

Mobile number (optional)

Your email (mandatory)

Are you part of a group?(not less than 3 people) (mandatory) YESNO

Group name (mandatory)

P.N.: If you are not part of a group, write NO to the question above!

Price of Simple and Short Route :

– Euros 15,00 (Fifteen/00 Euros) from the 1st of October 2018 to the 31st of January 2019 ;

– Euros 20,00 (Twenty/00 Euros) from the 1st of February 2019 to the 24th of April 2019 ;

– Euros 25,00 (Twentyfive/00 Euros) for registrations submitted after 24th of April 2019.

Price of Medium and Long Route :

– Euros 20,00 (Twenty/00 Euros) from the 1st of October 2018 to the 31st of January 2019 ;

– Euros 25,00 (Twentyfive/00 Euros) from the 1st of February 2019 to the 24th of April 2019 ;

– Euros 30,00 (Thirty/00 Euro) for registrations submitted after 24th of April 2019.

(mandatory) Add a valid medical approvement for cycling activities (JPG)

Route's choice (mandatory)

Simple Route - 12kmShort Route - 22kmMedium Route - 49kmLong Route - 81km

Cycling Card (mandatory) YESNO

For PEOPLE WHO OWN Cycling Card, please indicate (mandatory)

Name of the Cycling Group

Code of the Cycling Group

Number of the card

P.N.: If you don't have a Cycling Card, write NO to the 3 questions above!

For PEOPLE WHO DON'T OWN Cycling Card, attach a scan of a valid sport-medical certificate for competitive or non-competitive activity to the mail leonessaciclostorica@libero.it

Are you 18? (mandatory) YESNO

PEOPLE WHO ARE NOT 18 will be needing an "authorization" signed by a parent or people who exercise parental responsability to take part at the event. Attach the scan of the authorization to the mail leonessaciclostorica@libero.it

PAYMENT METHOD

Payment is done by Bank Transfer to:

Pro Loco di Pelago
Piazza Lorenzo Ghiberti, 21
CAP 50060 Pelago ( FI )
Current account at Banca di Credito Cooperativo in Pontassieve
IBAN: IT 18 U 08736 38010 000000072922
Reason: Leonessa 2019

All payment Fees are met by the sender.

You will be only asked to send a copy of the bank transfer to the following mail adress:
leonessaciclostorica@libero.it

REGULATION APPROVAL
- I declare to have read and understood all the regulations;
- I declare to be at least 18 years old by the day of the event (if not, a scan of an authorization signed by a parent or people who exercise parental responsability should attached to the official mail);
- I subscribe on purpose and I declare to be phisically ready and trained;
- I expressly authorize the Organization, without charge, to use fixed and/or moving images, portraying my own person, for every legitimate use, without any payment;
- I allow the use of my data just to the provisions of the Italian Law n. 675/’96;
- the Organization reserves the right to exclude undesired people from the event

 

6 thoughts on “Registrations

  1. Salvatore at 10:46 AM

    Da Leone speriamo di trovare mote Leonesse.

  2. Sergio at 01:38 PM

    Buongiorno, mi segnala sempre l’ errore nella data di nascita. E non riesco ad inviare i dati…

  3. Leonardo at 07:33 PM

    ciao! Un po’ di pazienza e sarà tutto ufficiale: ci stiamo lavorando sopra.

  4. Masimo at 11:16 PM

    x adesso niente iscriozone cumulativa c la coppa toscana vintage ??

  5. Leonardo at 11:33 AM

    Grazie per la segnalazione! Come scritto adesso, è sufficiente scrivere NO nei 3 campi.

  6. Alessio Bresci at 10:24 PM

    Per quanto riguarda l’iscrizione, anche se fleggo no per la tessera, mi chiede si inserire i dati….

Leave a Reply