Registration form

Registration Form

6 Days of GrandEst – Europe

From 03 to 09 July 2022.

To participate in the 6 days in the individual runner category.

You will be asked to contact the organization before registering.

coursenlorraine@gmail.com

Last name :………………………………………………….

First name :…………………………………….

Country :…………………

Date of Birth : . . /. . /. . . . / (adult on the day of the race)

Gender : H O – F O

Nationality : ……………………………

Language spoken : …………………………………

Address : …………………………………………………………………………………………………………………………….

Personal phone : ………………………………………….

Tel person to notify : …………………………………..

Mail address : ……………………………………………………………………………………………………

Club : ………………………………………………………….

License number : …………………………… ..

Category :………

Please attach a copy of the license – Non-licensee attach a copy of the medical certificate.

Spoken language : ………………………………………………………………………………………..

Normal meal: O Vegetarian: O Muslim: O

Jersey Size S O – M O – L O – XL O – XXL O XXXL O

Motorhome O Tent canvas O Available, gym, barnum + picot bed O

6 days O – 72H O – 48H O – 24H O – 12H O – 6H O – RUNNER O – WALKER O

Individual O – (24h) team of 6 O

Guide : 2 meals (noon-evening) + drinks + breakfast = 25th daily

25th x …………. (Number of days to choose from) = ……………… ..EUROS

Accompanying bed: motorhome with the runner O tent canvas O Room available with bed O

Day of your arrival on the site for the 6 days __________________________________

To get to know you better, tell us about your performance:

  FormatPréinscriptions      Date Tarif
6 jours course-marche 100 dossardsDu 03 au 09/07/2022           14h00300e
72h30 dossardsDu 03 au 06 – 14h150e
12h course nocturne30 dossardsLe 06 – 18h à 06h35e
6h course nocturne30 dossardsLe 06 –  18h à 00h25e
48h course30 dossardsDu 07 au 09 – 12h100e
24h course individuel80 dossardsDu 08 au 09-  11h60e
24h course en équipe10 dossardsDu 08 au 09-  11h40e individuel

Form to return, with the photocopy of the license or the medical certificate, accompanied by the payment to: COURIR EN LORRAINE – 17 RUE DE LA RESISTANCE 54390 FROUARD

By registering, I acknowledge having read the rules for the “6 jours du GrandEst”

on the site https://www.6jours-GrandEst.fr

The number of bibs allocated by format may change at any time depending on registrations. Example: Remove 10 bibs of a format where the demand is less, to add them to another, more coveted format.

Possibility of paying in several monthly installments (see regulations).

For the teams: Thanks to the captain for returning all the documents for the whole team, in one envelope. 1 entry form per runner.

Date: _______________ Signature:

Please tick all the boxes of your choice O and (read the rules first).