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 on his / her honor 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 on his / her honor 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.
Registration can be done by email to: mattersophie@gmail.com
Payment
The registration fee is 5 euros.
Payment via PayPal: send 5,50 euros at mattersophie@gmail.com
Bank transfer: please contact us for the bank details
Money orders or checks (only if drawn from a French bank) must be payable to Provence Randonneurs, and sent to :
Sophie Matter
3960 ancien chemin de Salernes
83570 Cotignac
FRANCE