Kiliman Adventure Challenge - Registration

 

 
Kiliman Adventure Challenge - climb, bike and run marathon

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Kiliman Adventure Challenge - registration

• Please fill in the online form.
• Or download the form and send it as a PDF in an e-mail.



• Bitte füllen Sie das Online-Formular aus
• Oder laden Sie das Online-Formular herunter und senden es als Anlage zu einer E-Mail.


 
REGISTRATION FORM
Please enter a value.To less characters.
First Name* Please enter a value.To less characters.
Registration date:
Street/house number* Please enter a value.
Zip-Code* Please enter a value.
City* Please enter a value.
State Please enter a value.
Country* Please enter a value.
Date of birth* Please enter a value.Format not valid.
Gender*
E-Mail* Please enter a value.Format not valid.
Application
   
Where did you hear about Kili[Man]? (optional details)
 
News Paper**:
Magazine**:
Internet Portal**:
Radio/Television:
Flyer:
Other:
   

I confirm having read and fully understood and accepted the "Conditions of Contract and Rules of KiliMAN 2014. In signing this booking application, I hereby indemnify and hold harmless Chagga Tours LTD and their employees and agents from all losses and injuries sustained by me.
I further give permission for the free use of my name, voice or picture (still or moving) to be used in any broadcast, telecast, advertising, promotion or any other form of advertising of this and future events.

*Mandatory, **Which one?

   
 
   

Race Director:
Lothar Dotzek
(Germany)
Email: [email protected]