MaXi-Race Madeira

Registration Form - ULTRA 100Km

Fill all fields to complete your registration.

Full name

Phone number

ID Document

ID Doc. Number

VAT Code

Address

Postal code

City

Country

Birthday

Gender

Shirt size

ATRP

AARAM

BIB Name

Club

Sponsor

Emergency contact name

Emergency phone number

T-Shirt (15.00€)
Massage service (15.00€)
Registration insurance (7.00€) See conditions here

Total:

All taxes included

Voucher code

Payment method

I authorize the use of my personal data for other communications and statistical procedures GDPR during the next 5 years since the registration date by Maxi Race Madeira organization. I acknowledge that I can request access to all of my data, unsubscribe from Maxi Race Madeira newsletter or ask to be removed from their services at any time.

I acknowledge that all the information I provide in this form will be used by Maxi Race Madeira Organization for managing the event and also to provide me with race and event Insurances and my data can be shared with local health authorities for Covid19 pandemic procedures. Registering in Maxi Race Madeira (any race activity, volunteering or services acquiring), I agree to follow local authorities and Maxi Race Madeira organization health instructions regarding Covid19 pandemic procedures.

When registering in any Maxi Race Madeira races, I am accepting all the terms, conditions and the Maxi Race Regulation.