Competition Category Type of crew Obligatory composition of crew
International PHYS STANDARD PHYS-ST 1 Physician+2 Paramedics

 

 

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

    Please fill in, items marked bold are mandatory!

    Organization:

    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:

    Please include international area code.

    E-mail:

    Arrival:

    Departure:

    Physician:

    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:

    Paramedic 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:

    Paramedic 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:

    Driver (if is non-competing crew member):

    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:

    Car:

    Type:

    License plate:

    Year of production:

    Acceptance:

    By sending the registration form we declare that we have read, understood and agree to the terms and conditions of participation and the rules of Rally Rejviz and agree to the collection and processing of personal data for the purposes of the organization of Rally Rejviz.

    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.