Registration form

I WΑΝΤ TO PARTICIPATE IN THE ROAD RUNNING *
—Κάντε μια επιλογή—1 Km6 Kms

NAME *

SURNAME *

NAME OF FATHER OR MOTHER *

NATIONALITY *

ADDRESS IN SAMOS *

YEAR OF BIRTH *

MOBILE PHONE NUMBER *

EMAIL *

TERMS OF ACCEPTANCE *
I hereby declare in full responsibility, that I have recently passed medical examinations and I have no health condition, that may place me at risk if I participate in the Road Running.
I agree that my name and my photo be published in printed and electronic media, in relation to the results, organization and promotion of the Road Running.
NOTE: For children participating in the 1.000 m Road Running, the above declarations should be signed by their parent / guardian.

Δ