Registration

Salutation
Title
First Name
Family Name
Nationality
Address
Zip Code / City   
Country
Phone / Fax   
eMail
Club
Date of birth
Number of marathons so far

I will participate at ITM 2018
 
1. Run from Eelde to Blijham
2. Run from Blijham to Esterwegen
3. Run from Esterwegen to Wardenburg
Bus tansfer from Wardenburg to Eelde
Accommodation in the Sports hall Eelde
Accommodation in the Sports hall Wardenburg

I will participate as:

Runner 1
Runner 2
Runner 3
Runner 4
Runner 5
Runner 6

Comments

I order T-Shirts/Finisher-Shirts (number of pieces Add):

Size       S:        M:        L:        XL:        XXL: 

Running Socks 1 pair WrightSocks free (number of pieces Add):

Size       S:        M:        L:        XL: 

Bank account with direct debit:
account holder
IBAN
BIC
bank

Terms and Conditions:
Eligible are all adequately trained and healthy sport runner. The participant is responsible for being medically examined in time and that at occurrence of health problems all activities are immediately stopped and are reported to the race management. The participants accept with their registration the Exclusion of Liability of the operator for damages of any sort. The organizer and all with the organization involved persons are excluded from any liability. This applies in particular for accidents, property damage and personal injury, theft.
  Yes, I agree to the terms and conditions.