Registration form mountain biking

Dates of tour:

Name:

Gender:

Age:

Address

Streetaddress Streetaddress City State Zip code Country

E-mail:

Phone:

How long have you been mountain biking?

On average - how often do you exercise per week?

On average - how often do you mountain bike per week?

Do you have any allergies? If yes please specify.

Do you have any food intolerances? If yes please specify.

Do you have any relevant medical coniditions we should know about? If yes please specify.

Do you use any medications we should know about? If yes please specify.

Insurance: Type of insurance, carrier, number and phone no. to carrier

Closest relative

Phone no closest relative:

Other relevant information:

I accept all terms and conditions*

Urørt ski- og sykkeleventyr