FCC - Jihlava

	Firefighter Combat Challenge 2024	Tel.: +420 604 625 288 Tel.: +420 608 644 241 Email: info@fcc-czech.cz
	Registration form	* Required
E-mail *
Last name *
First name *
Headquarters *
Sex *	Woman Man
Date of Birth *	. .
Phone number (format +420 123 456 789) *
State *
T-shirt size *	S M L XL XXL
Category *	Individual start Tandem Relay
Information for announcer	Here you can provide other information about yourself, which the announcer can say during your run.
Is competeed earlier in FCC?	Yes No
Personal Record
Personal Record Year
PersonalRecord Place (Town)
Consent to the processing of personal data	I hereby agree to the processing of my personal data strictly for the purpose of the copetition in cluding afree of chargé publication of personal information, pictures, videos and any other materials realting to thecompetion including organizer's internet page and Facebook account. By entering the competition I consentto the use of all submitted information fot he competition promotion purpose. I also reserve the right todelete, correct or block my personal information at any time through contacting the organizer's of the competition.I declare that the data entered into the form are correct. Yes
Fees	The registrationfee - individual start: Payment until 30.6.2024 - price entry fee of CZK 600,- / 25 €. Payment for tandem and relay at registration on race day. Please send bank transfer fees to the bank account below. Payment can also be made in cash upon registration on race day. The bank account: 2801581430/2010 BIC / SWIFT: FIOBCZPPXXX IBAN: CZ6020100000002801581430 Fio Banka, a.s. for: AVIKA z.s. Březinova 3993/108 580 01 Jihlava Czech republic IČO: 07 881 886 Please inform whom fee applies.
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