Individual registration


INDIVIDUAL REGISTRATION form

We can provide accommodation for 150 people on a full board basis, and lunch for 100 free accomodation rowers Priority will be given to rowers (one non rowing member for 6 rowers)

You must fill :
- one form for the group so we can manage the equipment (boats, bikes and trailers)
- one form for each member of the crew (below)

(For minors required parental permission here)

Last name* :
First name* :
Birthday* :
Gender* : MaleFemale
Adress* :
Complement of adress :
Zip code* :
Town* :
Mail* :

Person to contact in case of emergency

Name* :
Tel. n°* :
Any food allergie* :

You participate as :

RowerNon rowing member with a group/clubalone
If in a group/club : Name of the group Licence n°
If alone, do you want to be included in a crew and do you need information on the participating clubs ? YesNo

Type of accommodation* : Full boardCamping

Full board

Adult fee : 460€Youth fee (15 to 25 y.o.) : 300€

Camping

Participation : 110€ (binding)
Number of lunches at 15€ each :
Number of dinners at 15€ each :
Number of meals x 15€ =

Renting

Bicycle: 40€Seat : 66€Trolley : 39€

Total amount to be paid* :

Your registration will be validated when the full amount will be paided by check or bank transfer (details that you will receve by email)

Any particular message you would like to tell us :

By checking this box, the president of the club or the coach is certifying the rower’s ability to participate in the rallye.
captcha

(* required field)