Obligatory composition of crew:  3 competitors
Crew type: Choose according to your composition. If in the crew is min. 1 physician is the right type PHYS.
If you select “Other”, please describe the crew type in the final part of the application form.
Name of crew: Any name of the crew you want to use in the competition. If it is identical to an organization, you do not have to fill in.

 

 

For guests (accompanying persons, photographers etc.) please use registration form for other participants.

Please fill in, items marked bold are mandatory!

Crew type:
Organization:
Name of crew:
Organization ID:
Address:
Street:
City:
ZIP:
Country: Please use international vehicle registration codes, e. g. A, PL, USA, TK...
Contact person:
First name:
Middle name:
Family name:
Cellphone:
E-mail:

Competitor 1:

Title First name Middle name Family name Title
Gender: Date of birth (MM/DD/YYYY): //
Passport/ID Card No.:
Home address:
Street:
City:
ZIP:
Country: Please use international vehicle registration codes, e. g. A, PL, USA, TK...
Cellphone:
E-mail:
Job title:
Arrival: Departure:

Competitor 2:

Title First name Middle name Family name Title
Gender: Date of birth (MM/DD/YYYY): //
Passport/ID Card No.:
Home address:
Street:
City:
ZIP:
Country: Please use international vehicle registration codes, e. g. A, PL, USA, TK...
Cellphone:
E-mail:
Job title:
Arrival: Departure:

Competitor 3:

Title First name Middle name Family name Title
Gender: Date of birth (MM/DD/YYYY): //
Passport/ID Card No.:
Home address:
Street:
City:
ZIP:
Country: Please use international vehicle registration codes, e. g. A, PL, USA, TK...
Cellphone:
E-mail:
Job title:
Arrival: Departure:


Acceptance:

We declare that we have read and understand the conditions and rules of the Rallye Rejviz.
We agree with the collection of personal data for organisation of the Rallye Rejviz.


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We will send confirmation of registration and proforma invoice for the payment of participation fees to e-mail of the contact person as soon as possible.
Automatic confirmation mail will be sent in few moments. Please check your mailbox and spam folder, contact us if you do not receive confirmation e-mail within one hour.