ENTRY FORM

Ski Juniors GP3.3

Ski Juniors GP3.2

Runabout Juniors GP4

Name:

First name

Phone number

Address

Town

Zip code

Country:

Email:

Date of birth:

Nationality:

Club:

Licence №

Nationality as per licence:

WATERCRAFT

Watercraft Brand:

Year of construction

Hull identification number (HIN)

Measurement certificate delivered by

Engine:

Model:

Cylinder capacity:

OBLIGATORY FOR COMMUNICATION AND IN CASE OF EMERGENCY (ICE):

Name:

First name:

Phone number:

email:

All fields must be completed.

The ‘single event’ European Superlicense fee (Rule 203.02.04) is 25 €

The registration fee is 200€ for each category.
No entry fee is required for freestyle and ski junior categories.
The deposit of 20€ will be charged for the transponder. - payable in cash at the race office

Payment Details:
IBAN: PL97 1140 2004 0000 3112 1692 4193
Name: E.C.C. - Grand Prix of Poland
Bank: MBank
Title: Name, Surname, Category, Race Number
Dorsals will be provided by organisers. No other dorsals are allowed.
Important: All registrations will be valid only with the proof of payment.

ADDITIONAL INFORMATION

Please indicate type of vehicle you will arrive (car and trailer, motorhome, other).

Please indicate in meters dimension of your vehicle (full length, full width)

Please indicate in meters space needed for a tent (full length, full width)

Total number of people in the team: