Basque Expedition Race Entry Form
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Team name *
Category *
Country *
Mailing adress *
Phone *
TEAM MEMBER 1 (Captain)
First and last names *
Passport number *
Mailing adress *
Phone *
Birth date *
MM
/
DD
/
YYYY
Gender *
Required
City *
Country *
Shirt size *
Required
TEAM MEMBER 2
First and last names
Passport number
Mailing adress
Phone
Birth date
MM
/
DD
/
YYYY
Gender
City
Country
Shirt size
TEAM MEMBER 3
First and last names *
Passport number *
Mailing adress *
Phone *
Birth date *
MM
/
DD
/
YYYY
Gender *
Required
City *
Country *
Shirt size *
Required
TEAM MEMBER 4
First and last names
Passport number
Mailing adress
Phone
Birth date
MM
/
DD
/
YYYY
Gender
City
Country
Shirt size
Submit
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