Ime/First name*Prezime/Surname*E-mail*Datum rođenja / Date of Birth*01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 2015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901datum/datemjesec/monthljeto/yearSpol/Gender*Ženski/FemaleMuški/MaleAdresa / Address* Ulica/StreetMjesto/TownPoštna številka/ZIP CodeDržava / Country*AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweKlub/ClubOdaberi utrku/Race selection*Juniorke i juniori U14 / Juniors U14Juniorke i juniori U16 / Juniors U16Utrka na 10km / 10km Road raceRučnik / Unique towel*DA/YESPlačanje startnina / Entry fee paymentPlaćanje startnina putem PayPala (link na www.utrka-medulin.com) ili uplate na bankovni račun. (75kn/10€ do 20.4., 150kn/20€ na dan utrke) Entry fee payment over PayPal (link on www.utrka-medulin.com) or with bank tranfer. (10€ until 20th of april, 20€ on race day) BANKOVNI PODATKI ZA PLAĆANJE / BANK PAYMENT DETAILS: Hrvatski trkači: PRIMATELJ: TZO Medulin, Brajdine 49, 52203 Medulin, Hrvatska IBAN: HR4123800061132001260 SWIFT: ISKBHR2X Slovenski tekači PREJEMNIK: Protim.e d.o.o., Ul. 9. maja 26, 2204 Miklavž, Slovenija IBAN: SI56 1010 0005 3827 041 SWIFT: BAKOSI2X **kod uplate iz inozemstva, iznos se uvećava za bankovnu proviziju. PRIJAVA / REGISTRATIONResetPravna obavijest / Legal disclaimerPrijavom na utrku prihvaćam oglase i reklamu i isključivanje organizatora od odgovornosti za bilo kakvu štetu. Izjavljujem, da neću provoditi zahtjev ni na organizatora, niti na potpornim tvrtki i njihovih agenata zbog oštećenja, koja bi mogla nastati sudjelovanjem. Izjavljujem, da sam fizički spreman za natjecanje. Prihvačam i pomoć ambulantne službe u slučanju ozljede ili opasnosti na moje zdravlje. Slažem se da se moje informacije mogu koristiti i potvrđujem, da su moji podatki točni. Slažem se i sa osiguranjem zaštite privatnosti svojih podataka! By registering I accept the advertisement and the organizer's exclusion of liability of any damage. I will not enforce, a claim neither upon the organizer nor upon the supporting companies and their agents because of damage, that could arise by participating. I declare, that I have practised sufficiently or the participation and that I am physically well. The ambulance men are authorized to take me off the contest when noticing threatening indication of a damage to my health. I agree that my given information may be used. I assure that my information is correct. Once registered, I cannot claim a refund of my registration fee. To insure your protection of privacy your data was saved electronically!4. ROAD RACE MEDULIN RIVIERADATUM / DATE: 29. travanj 2018, 29th of april 2018MJESTO / CITY: Medulin, RivaORGANIZATOR / ORGANIZER: Turistika zajednica općine Medulin & Protim.e d.o.o.INFORMACIJE / INFORMATION:--> CLICKSEZNAM PRIJAVLJENIH
DATUM / DATE: 29. travanj 2018, 29th of april 2018
MJESTO / CITY: Medulin, Riva
ORGANIZATOR / ORGANIZER: Turistika zajednica općine Medulin & Protim.e d.o.o.
INFORMACIJE / INFORMATION:--> CLICK
SEZNAM PRIJAVLJENIH