OLD Registration Form 026 SUP11 Islands

Registration Form 026 SUP11 Islands

30 November - 7 December
Spots left: 31 out of 40
- First Name*
- Last Name*
- Gender*
- Birthday*
  
  DayMonthYear
  Date
- Email*
  example@example.com
- Telephone (incl. country code)*
  
  Country CodeArea CodePhone Number
- Address*
- Postcode*
- City*
- Country*
- Nationality*
- Diet restrictions *
  Fill in n/a if no diet restrictions.
- Any allergies*
  Fill in n/a if no allergies.
- XSSMLXLXXL
- Emergency First Name & Last Name*
- Emergency Phone Number (incl. country code)*
  
  Country CodeArea CodePhone Number
- Select below everything you would like to register for. NOTE: currently you will receive an email from us to pay through a bank transfer.
  prevnext( X )
  
  026 SUP11 Islands
  Includes: event t-shirt, race shirt, accommodation (7 nights), full board (excl. first night) (excl. alcohol/cocktails), 5x massage, usage of GPS tracking system, board storage, safety on water and land during event.
  
  €1,050.00
  
  
  
  Rental board & paddle
  €350.00
  
  
  
  Extra person, not paddling
  This incl. hotel/ food/ transport by boat each day
  
  €550.00 Quantity
  
  
  
  Single room supplement
  €550.00
  
  
  
  Extra night 7-8 December Single room incl. breakfast
  €50.00
  
  
  
  Extra night 7-8 December Double room incl. breakfast
  €100.00
  
  
  
  Total
  
  €0.00
- 23"25"27"
- First Name extra person*
  Fill in n/a if no extra person
- Last Name extra person*
  Fill in n/a if no extra person
- Email address extra person*
  Fill in n/a if no extra person
- Diet restrictions extra person?*
  Fill in n/a if no diet restrictions.
- Any allergies extra person?*
  Fill in n/a if no allergies.
- If you are paddling with someone and want to stay in the same room, please write down the name below.
- Let us know if you have any questions?
- Should be Empty: