VINAŘSKÁ 50 2025

Registration

Surname:	*	! !
First Name:	*	! !
Date of Birth:	Day: * Month: * Year: *	! ! ! ! ! !
Gender:	ManWoman	!
Nationality:
Street, No.:	*	! !
City:	*	! !
Post Code:	*	! !
Country:
Email:	*	! !
Phone:		! !
SOS Phone:		! !
Club:		! !
Health insurance company:		! !
Team Competition:	I'm not in any team Firemní tým Rodinný tým
Team name:		!
Tričko závodu (+ 250 Kč) :
Jídlo:
Message:		! !

* This information is required