Marathon - Marathon Bière Flandre Festival

Marathon

ATHLETE DATA

Gender

MaleFemale

Last name

First name

Date of birth

Minimum 20 years old

Nationality

E-mail

Mobile number of athlete

Post address

Name of you team association, Club or Enterprise

Enter your team name or select a team from the existing list

MEDICAL ATTEST

I have 2024 World Athletics license:

➡️ I enter my 2024 license numbered

➡️ I upload copy of my competition athletics license

I don't have 2024 athletics license: thanks to uplpad below your medical attest:

➡️ Medical certificate of Sport or Athletics in competition date de l'événement dated less than one year by your doctor

➡️ For only U18: you can complete "Helth quizz of French gouvernment" (click here for obtain quizz)

❗ It's of your charge warranty that medical document is legal and compatible (all mentions abore are write)

❗ Neither the organizer nor ProLiveSport can be held responsible in case of refusal of the latter.

2024 Athletics license

I have 2024 FFA licenseI have 2024 World Athletics licenseNot Athletics licensed

Country or your World Athletics License

EMERGENCY CONTACT

Lastname and firstname of emergency contact

Who is emergency contact that athlete

Mobile number of emergency contact

OPTIONs / SERVICEs

T-shirt size

Partner "Le Nord department"

I want received information of "Le Nord"

Consultez le réglement des courses

Règlement

I readed and integral understanded the rules of the organizer and the conditions of ProLiveSport. I accept EVERYTHING.

SMS Option(s)

I subscribe to the SMS Info option: I receive the withdrawal information the day before the event + the "last minutes" information if necessary. [+ 0.75 €]I subscribe to the SMS Finisher option, I receive my time and ranking by SMS [+ 0.75 €]

Mobile number for SMS recept.

Envoi du dossard par courrier

Je souscris l'option payante, permettant de recevoir mon dossard par courrier (FRANCE) [+ 10 €]Je souscris l'option payante, permettant de recevoir mon dossard par courrier (HORS FRANCE) [+ 15 €]

Marathon Bière Flandre Festival - MB2F 2024

ATHLETE DATA

MEDICAL ATTEST

EMERGENCY CONTACT

OPTIONs / SERVICEs