Registration
Needed information
Name of the Super Randonnée
Last Name
First Name
Date of Birth
Mailing Address (where the documents will be sent)
Club Affiliation (or « no license »)
Club Name (or « independant rider »)
Option: Randonneur or Touriste
if Randonneur, please indicate your date and starting time
By registering for the Super Randonnée, the participant declares that he / she has read the SR Rules and accept them without reservation.
By registering for the Super Randonnée, the participant declares that he / she is in sufficient physical condition to complete the course chosen, and to have read the safety instructions.
By registering for the Super Randonnée, the participant declares that he / she has read the following information:
Participants are strongly advised to take out individual accident insurance extended for cycling (unless they have a sports license including such insurance).
Provence Randonneurs has no individual accident insurance for participants. Provence Randonneurs did not take out insurance for the repatriation of the participants. Provence Randonneurs is insured in civil liability, in accordance with Article L321-1 of the French Sports Code.
Signature
Payment
The registration fee is 5 euros.
How to pay :
Payment on online platform :
https://www.helloasso.com/associations/provence-randonneurs/boutiques/inscription-1000-du-sud-2023
By PayPal account (Europa, UK or Switzerland), send (according to the chosen option) 5,50 euros to: mattersophie@gmail.com
Bank Transfer : please contact us for the details
Send a check (from a French bank only), made payable to Provence Randonneurs to the address : Provence Randonneurs - 3960 ancien chemin de Salernes - 83570 - Cotignac - France