ALTRIMAN - Altriman 2025

ALTRIMAN

► IDENTITY

Do you have a licence?

Yes, F.F.Tri.Yes, ITUNo

Birth date

Minimum 18 years old

Name

First Name

Sex

ManWomen

You are NOT licenced

Here you will find a health information form that you must upload below with all boxes checked in order to validate your ability to participate in this competition

Vous êtes LICENCIE

Merci de téléverser ci-dessous une copie de votre licence

Adress

E-mail

Confirm e-mail address

Phone number

Size T-shirt

Cancellation warranty

I subscribe to the total cancellation guarantee and may be refunded my registration on simple request until 2025-07-10 included for any reason whatsoever for 20% of the total amountI subscribe to the "simple" cancellation guarantee and may be refunded in full of my registration, presentation of a proof (median certificate, loss of employment) until 21/06/2025 inclusive (reimbursement of 50% until 11/07/2025), for 10% of the total amountI lose the amount of my registration if I cancel my registration

► NO REFUND POSSIBLE WITHOUT CANCELLATION WARRANTY

► MEAL BEFORE AND AFTER RACE

Friday night Pasta party ALTRIMAN (included in the price)

I come to the Pasta Party OFFEREDI do not come to the Pasta Party OFFERED

ADDITIONNAL Pasta party Friday night

Unit price 15€

(Minimum 0 - Maximum 20)

Sunday meal after the race at midday (included in the price)

I come to the meal INCLUDEDI do not come to the meal INCLUDED

ADDITIONAL meal race after Sunday lunch

Unit price 15€

(Minimum 0 - Maximum 20)

Pré-commande TS collector (offert aux inscrits Altriman)

Unit price 15€

(Minimum 0 - Maximum 10)

person to contact in case of emergency

telephone number person to contact in case of emergency

What is your time goal? (hh-mm)