Sign up online for Dijon 2023

First name ^*

Last name ^*

Address ^*

Postal code ^*

City ^*

Country ^*

Mobile ^*

Email ^*

Training ^*

Insurance ^*

No thanks Yes € 22.– / CHF 23.– per day (Euro 100'000.–)

I wish to take out insurance in case of disability due to an accident on the racetrack during the event. Terms and conditions available on request.

Date of birth ^* Compulsory information if insurance is booked.

Type of bike ^*

Number on the bike

Emergency Contact Name ^*

Emergency Contact Number ^*

Remarks

Confirmation of the registration and general terms and conditions ^*

Registration and General Terms and Conditions (excerpt):

All prices are in Euro €.
Number of participants is limited, confirmation in order of booking.
After receipt of your registration we will send you a confirmation of registration, the participation fee is payable within 10 days.
Conditions of cancellation: Up to 30 days before the event 80% will be refunded. There will be no refund for later cancellations.
We recommend that you check your insurance cover for accident, illness, property damage and financial loss.
We recommend to take out an insurance for cancellation costs and travel assitance: www.elvia.ch oder www.erv.ch.
Terms and conditions and availability are subjet to change anytime.

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Registration form